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Organization

FAMILY WELLNESS PRACTICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BERNARD FOSTER (OWNER)
(248) 469-3646
Entity
Organization

Contact information

Practice address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 944-0085
Mailing address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 944-0085

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
05/01/2012
Last updated
10/14/2015
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