| NPI Details | |
|---|---|
| NPI | 1649229287 |
| Enumeration Date | 05/10/2006 |
| Last Updated | 10/11/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 |
| 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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