Organization
MICHIGAN WELLNESS 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MUHAMMAD (CEO)
(313) 204-8911
Entity
Organization
Contact information
Practice address
18455 JAMES COUZENS FWY, DETROIT, MI 48235-2506
(313) 204-8911
Mailing address
3500 E JEFFERSON AVE APT 524, DETROIT, MI 48207-4479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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