Graduated: 2014
Offers telehealth
NPI: 1326442070
Practice Locations (2)
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
2960 ALLIED ST, SUITE 101
GREEN BAY, WI 543045542
9203511675
NYSTROM AND ASSOCIATES COUNSELING WI SC
480 PILGRIM WAY, 1300 A
GREEN BAY, WI 543045280
9206105119
Source: CMS National Downloadable File, September 2026.