# BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BODY WISE MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639312960
- **Authorized official:** DR. PAUL ALAN MIKEL M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (480) 289-5252

## Contact information

- **Practice address:** 3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
- **Practice address phone:** (480) 289-5252
- **Practice address fax:** (480) 776-5169
- **Mailing address:** 3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
- **Mailing address phone:** (480) 289-5252
- **Mailing address fax:** (480) 776-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 21229 | AZ | Yes |

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 04/16/2009