Organization
KENNEDY AVENUE WELLNESS
Active
Other names
Highland Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VANDERSLUIS (OWNER)
(219) 924-7626
Entity
Organization
Contact information
Practice address
2116 45TH ST, HIGHLAND, IN 46322-3742
(219) 924-7626
Mailing address
PO BOX 626, DYER, IN 46311-0626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
01/26/2016
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