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Organization
WHOLE BODY HEALTH AND WELLNESS CENTER STATION 22
Active
Organization
WHOLE BODY HEALTH AND WELLNESS CENTER STATION 22
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BIRGE (CEO)
(248) 262-7420
Entity
Organization
Contact information
Practice address
17250 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2127
(248) 262-7420
Mailing address
17250 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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