Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Male T Clinic, LLC Dba Elite Hormones

Organization Integrative Medicine Physician · NPI 1629916192

Elite Male T Clinic, LLC Dba Elite Hormones is an Integrative Medicine Physician in Wausau, Wisconsin. Works from 3 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

505 S 24th Ave Ste 204
Wausau, WI 54401-1706
Phone: (715) 240-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2633 N Clairemont Ave, Eau Claire, WI 54703-2405 — (715) 240-4150
  • 7704 Terrace Ave Ste 1, Middleton, WI 53562-3122 — (715) 240-4150

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X

Record details

NPI number1629916192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Ivaska — Owner · (715) 370-0380
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address3164 Shady Ln, Stevens Point, WI 54481-9508