# MI PRIMARY CARE PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellNow Allergy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811631641
- **Authorized official:** TRACY SCIOLINO (MANAGER)
- **Authorized official phone:** (716) 699-9032

## Contact information

- **Practice address:** 1313 W MCGALLIARD RD STE 2, MUNCIE, IN 47303-1774
- **Practice address phone:** (765) 216-3115
- **Practice address fax:** (765) 216-3116
- **Mailing address:** PO BOX 500, ELLICOTTVILLE, NY 14731-0500
- **Mailing address phone:** (716) 699-9032
- **Mailing address fax:** (716) 699-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 11/23/2022