Organization
WELLNESS CENTER OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMPLE TRIPATHI (CEO)
(248) 943-8860
Entity
Organization
Contact information
Practice address
17336 W 12 MILE RD STE 102, SOUTHFIELD, MI 48076-2113
(248) 943-8860
Mailing address
17336 W 12 MILE RD STE 102, SOUTHFIELD, MI 48076-2113
(248) 943-8860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301041657
MI
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
About Stedi
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