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Organization
MIDWEST WELLNESS LLC
Active
Organization
MIDWEST WELLNESS LLC
Active
Other names
MD Medical Weightloss and Wellness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASU KESA MD (OWNER)
(317) 850-7725
Entity
Organization
Contact information
Practice address
6822 E 82ND ST STE 310, INDIANAPOLIS, IN 46250-1677
(317) 548-4666
(317) 350-0059
Mailing address
6822 E 82ND ST STE 310, INDIANAPOLIS, IN 46250-1677
(317) 548-4666
(317) 350-0059
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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