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Organization
WELLNESS GROUP, P.C.
Active
Organization
WELLNESS GROUP, P.C.
Active
Other names
The Wellness Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE BRADLAW D.O. (CHAIRMAN)
(219) 707-5775
Entity
Organization
Contact information
Practice address
802 LAPORTE AVE, PORTER HOSPITAL WOUND CARE CENTER, VALPARAISO, IN 46383-5860
(219) 263-4600
Mailing address
PO BOX 1296, VALPARAISO, IN 46384-1296
(219) 707-5775
(219) 707-5775
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
02003905B
IN
Other
Enumeration date
07/23/2012
Last updated
03/06/2013
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