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

Xenon Wellness, LLC

Organization Family Medicine Physician · NPI 1285208918

Xenon Wellness, LLC is a Family Medicine Physician in Green Bay, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 Marvin Ln
Green Bay, WI 54311-5944
Phone: (920) 857-8112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1285208918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Wallenfang — Owner · (920) 857-8112
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address810 Marvin Ln, Green Bay, WI 54311-5944

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