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Organization
MI PRIMARY CARE PRACTICE, PC
Active
Organization
MI PRIMARY CARE PRACTICE, PC
Active
Other names
WellNow Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SCIOLINO (MANAGER)
(716) 699-9032
Entity
Organization
Contact information
Practice address
1313 W MCGALLIARD RD STE 2, MUNCIE, IN 47303-1774
(765) 216-3115
(765) 216-3116
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500
(716) 699-9032
(716) 699-9035
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
11/23/2022
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