Organization
PHOENIX WELLNESS CENTERS, INC
Active
Organization
PHOENIX WELLNESS CENTERS, INC
Active
Other names
Phoenix Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HOWARD LANGE D.C (PRESIDENT)
(231) 938-8000
Entity
Organization
Contact information
Practice address
1203 E EIGHTH ST, TRAVERSE CITY, MI 49686-2938
(231) 938-8000
(231) 938-0547
Mailing address
1203 E EIGHTH ST, TRAVERSE CITY, MI 49686-2938
(231) 938-8000
(231) 938-0547
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301007576
MI
Other
Enumeration date
11/14/2007
Last updated
06/20/2011
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