Organization
MID MICHIGAN KETAMINE CLINIC PLLC
Active
Organization
MID MICHIGAN KETAMINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIETTA ELIZABETH WALKER MHSA (PARTNER)
(810) 523-5194
Entity
Organization
Contact information
Practice address
245 E WARWICK DR, ALMA, MI 48801-1026
(313) 203-6002
Mailing address
68490 MEADOWOOD CT, WASHINGTON, MI 48095-1395
(810) 523-5194
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2022
Last updated
06/07/2022
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