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Organization

WAY OF LIFE HEALTH & WELLNESS CENTER, PLLC

Active
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Organization

WAY OF LIFE HEALTH & WELLNESS CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARISSA A MCMAHON D.C (OWNER)
(248) 310-1101
Entity
Organization

Contact information

Practice address
3355 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-4551
(248) 242-2123
Mailing address
3355 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-4551
(248) 242-2123

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008198
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F39764
BCBS
MI
05
—
LM008198
—
MI
Enumeration date
10/19/2006
Last updated
09/29/2014
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