Organization
BE WELL LIFESTYLE CENTERS MI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE COZZETTO (AUTHORIZED OFFICIAL)
(248) 792-6570
Entity
Organization
Contact information
Practice address
750 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6600
(248) 792-6570
Mailing address
750 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6600
(248) 792-6570
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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