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Organization
OMNI WELLNESS GROUP LLC
Active
Organization
OMNI WELLNESS GROUP LLC
Active
Other names
Omni Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA PETREQUIN (BILLING MANAGER)
(937) 438-9500
Entity
Organization
Contact information
Practice address
1149 EXPERIMENT FARM ROAD, TROY, OH 45373
(937) 540-9920
(937) 202-0213
Mailing address
1149 EXPERIMENT FARM RD, TROY, OH 45373-1071
(937) 438-9500
(937) 886-5694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
10/30/2023
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