NPI Details | |
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NPI | 1649229287 |
Enumeration Date | 05/10/2006 |
Last Updated | 10/11/2007 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | ANTHONY V ANTHONY |
Position | EXECUTIVE DIRECTOR |
Phone | (313) 875-5045 |
Fax |
Practice Location | |
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2888 W GRAND BLVD DETROIT MI, 48202-2612, US |
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Phone | (313) 875-5045 |
Fax |
Business Location | |
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2888 W GRAND BLVD DETROIT MI, 48202-2612, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 207R00000X |
License State | Michigan |
License Number | 4301038485 |
Remove 1649229287 NPI Number |
According to our database, Wellness Plan NPI is 1649229287, taxonomy code is 207R00000X and license number is 4301038485, license state is located at Michigan. Wellness Plan physically located at 2888 W Grand Blvd, Detroit MI, 48202-2612. NPI Number 1033115704 has the healthcare provider type.
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1649229287 NPI number is provided on an as is basis without warranty of any kind. 1649229287 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Plan are for informational purposes only.
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