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Organization
WELLNESS NETWORKS, INC
Active
Organization
WELLNESS NETWORKS, INC
Active
Other names
AIDS Partnership Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MAULDIN (PROVIDER ENROLLMENT MANGER)
(414) 225-1611
Entity
Organization
Contact information
Practice address
64 VICTOR ST, HIGHLAND PARK, MI 48203-3128
(313) 446-9800
(313) 446-9839
Mailing address
DEPT CH 14583, PALATINE, IL 60055-0001
(866) 525-5484
(833) 394-4961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
02/11/2015
Last updated
03/25/2026
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