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Organization
VIRGINIA PARK WELLNESS CENTER LLC
Active
Organization
VIRGINIA PARK WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAIM ONWUEGBUCHU RPH (MANAGER)
(313) 525-6566
Entity
Organization
Contact information
Practice address
8500 14TH ST STE 101, DETROIT, MI 48206-2574
(313) 894-3950
(313) 894-1729
Mailing address
11748 HEATHERWOOD CIR, TAYLOR, MI 48180-4188
(313) 525-6566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
09/23/2024
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