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Organization

PUBLIC WELLNESS ASISTANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTEBAN D MARICHAL (PRESIDENT)
(248) 773-2705
Entity
Organization

Contact information

Practice address
5119 HIGHLAND RD, SUITE 391, WATERFORD, MI 48327-1915
(248) 773-2705
(248) 436-6238
Mailing address
955 WEST HURON, WATERFORD, MI 48327
(248) 773-2705
(248) 436-6238

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MI

Other

Enumeration date
02/10/2009
Last updated
03/16/2009
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