Organization
INNOVATIVE WELLNESS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEG DUNTEMAN (CREDENTIALING)
(630) 770-3800
Entity
Organization
Contact information
Practice address
7100 N HIGH STREET, SUITE 201, WORTHINGTON, OH 43085-2316
(614) 601-6272
(614) 601-6291
Mailing address
7100 N HIGH STREET, SUITE 201, WORTHINGTON, OH 43085-2316
(614) 601-6272
(614) 601-6291
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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