Organization
WELLNESS GROUP, P.C.
Active
Other names
The Wellness Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE BRADLAW D.O. (CHAIRMAN)
(219) 707-5775
Entity
Organization
Contact information
Practice address
802 LAPORTE AVE, PORTER HOSPITAL WOUND CARE CENTER, VALPARAISO, IN 46383-5860
(219) 263-4600
Mailing address
PO BOX 1296, VALPARAISO, IN 46384-1296
(219) 707-5775
(219) 707-5775
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
02003905B
IN
Other
Enumeration date
07/23/2012
Last updated
03/06/2013
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