Wellness Plan

NPI 1649229287 - Internal Medicine - 207R00000X

NPI Details
NPI 1649229287
Enumeration Date 05/10/2006
Last Updated 10/11/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANTHONY V ANTHONY
Position EXECUTIVE DIRECTOR
Phone (313) 875-5045
Fax
Practice Location
2888 W GRAND BLVD
DETROIT MI, 48202-2612, US
Phone (313) 875-5045
Fax
Business Location
2888 W GRAND BLVD
DETROIT MI, 48202-2612, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301038485
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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.