Organization
WELLNESS CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH K. SURYAVANSHI P.T. (OWNER/ADMINISTRATOR)
(810) 412-4378
Entity
Organization
Contact information
Practice address
1040 S STATE RD, DAVISON, MI 48423-1904
(810) 412-4378
(810) 412-4376
Mailing address
1040 S STATE RD, DAVISON, MI 48423-1904
(810) 412-4378
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30637
BCBS
MI
05
—
404764013
—
MI
Enumeration date
09/08/2006
Last updated
11/04/2015
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