OrganizationActive
Primelife Health and Wellness
NPI 1265230601 · Integrative Medicine Physician · Oconomowoc, WI
Provider details
- NPI number
- 1265230601
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Elliot, Vice President(262) 330-0062
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
888 Thackeray Trl Ste 103
Oconomowoc, WI 53066-4342
Phone: (866) 329-4264
Approximate (ZIP-level) locationGet directions
Mailing address
925 Genesee St # 180620
Delafield, WI 53018-9998
Other names (DBA / former)
- Doing business as
- Primelife
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.