Organization
WELLNITE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALANSKI (MD)
(877) 644-6008
Entity
Organization
Contact information
Practice address
11811 SHAKER BLVD STE 204, CLEVELAND, OH 44120-1931
(341) 888-7637
Mailing address
2261 MARKET ST # 4058, SAN FRANCISCO, CA 94114-1612
(855) 731-1410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
06/15/2023
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