Organization
PLACER WELLNESS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA WILSON (CFO)
(916) 797-3030
Entity
Organization
Contact information
Practice address
6540 LONETREE BLVD, SUITE 200, ROCKLIN, CA 95765-5874
(916) 797-3030
(916) 797-0505
Mailing address
6540 LONETREE BLVD, SUITE 200, ROCKLIN, CA 95765-5874
(916) 797-3030
(916) 797-0505
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC312960
CA
208D00000X
General Practice Physician
A30174
CA
Other
Enumeration date
04/08/2010
Last updated
04/12/2010
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