Organization
NORTHLAND MEDICAL AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRITTON (OWNER MANAGER)
(816) 741-0018
Entity
Organization
Contact information
Practice address
8355 NW BARRYBROOKE DR, KANSAS CITY, MO 64151-1024
(816) 741-0018
(816) 741-0659
Mailing address
8355 NW BARRYBROOKE DRIVE, KANSAS CITY, MO 64151
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X440000
MEDICARE PTAN
MO
Enumeration date
07/09/2006
Last updated
10/19/2009
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