Organization
WILDCATS WELLNESS CENTER
Active
Organization
WILDCATS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANNE MILLER (CLINICAL COORDINATOR)
(269) 789-8814
Entity
Organization
Contact information
Practice address
225 E WATSON ST, ALBION, MI 49224-1194
(517) 629-8464
(517) 629-8466
Mailing address
225 E WATSON ST, ALBION, MI 49224-1194
(517) 629-8464
(517) 629-8466
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008706720
BCBSM
MI
05
—
774911039
—
MI
Enumeration date
07/30/2008
Last updated
07/31/2008
Update your record
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