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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