Provider Demographics
NPI:1508730466
Name:MENOPAUSE AND MIDLIFE ('MA'AM') CLINIC, SC
Entity type:Organization
Organization Name:MENOPAUSE AND MIDLIFE ('MA'AM') CLINIC, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR, PRESIDENT, & FOUN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLEHMAINEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-291-4531
Mailing Address - Street 1:7800 DISCOVERY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5501
Mailing Address - Country:US
Mailing Address - Phone:608-291-4531
Mailing Address - Fax:608-927-0308
Practice Address - Street 1:7800 DISCOVERY DR STE 300
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5501
Practice Address - Country:US
Practice Address - Phone:608-291-4531
Practice Address - Fax:608-927-0308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty