Organization
MOBILE WELLNESS
Active
Other names
Mobile Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE BRADFORD HENRY DPM (DIRECTOR)
(248) 792-1316
Entity
Organization
Contact information
Practice address
373 ADAMS CT, FERNDALE, MI 48220-2423
(248) 547-3260
Mailing address
PO BOX 781, SOUTHFIELD, MI 48037-0781
(248) 547-3260
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
5901001148
MI
335E00000X
Prosthetic/Orthotic Supplier
5901001148
MI
Other
Enumeration date
11/20/2009
Last updated
12/30/2009
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