Organization
PUBLIC WELLNESS ASSISTANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN DAGOBERTO MARICHAL (PRESIDENT)
(248) 773-2705
Entity
Organization
Contact information
Practice address
955 W HURON ST, WATERFORD, MI 48328-3727
(248) 773-2705
(248) 436-6238
Mailing address
5119 HIGHLAND RD STE 391, WATERFORD, MI 48327-1915
(248) 773-2705
(248) 436-6238
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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