OrganizationActive
Elite Male T Clinic, LLC Dba Elite Hormones
NPI 1629916192 · Integrative Medicine Physician · Wausau, WI
Provider details
- NPI number
- 1629916192
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Anne Ivaska, Owner
Mailing address
3164 Shady Ln
Stevens Point, WI 54481-9508
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.