Organization
TEAM WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOWELL DOWELL (CARE COORDINATOR)
(313) 396-5300
Entity
Organization
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1588855100
MI
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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