Organization
MD WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANDANA RAMAIAH MS (PROGRAM DIRECTOR)
(727) 687-9102
Entity
Organization
Contact information
Practice address
28373 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3003
(313) 209-3353
(313) 406-7255
Mailing address
28373 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3003
(313) 209-3353
(313) 406-7255
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
L17000121902
FL
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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