Organization
LOTUS WELLNESS CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIO COZZETTO DC (PRESIDENT)
(248) 792-6570
Entity
Organization
Contact information
Practice address
24423 SOUTHFIELD RD, SUITE 100, SOUTHFIELD, MI 48075-2864
(248) 215-0115
(248) 792-6574
Mailing address
750 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6600
(248) 215-0115
(248) 792-6574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008133
MI
225100000X
Physical Therapist
5501014478
MI
Other
Enumeration date
04/01/2016
Last updated
04/08/2016
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