Organization
NEW IMAGE BODY AND WELLNESS CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN KACEL FNP-C (FAMILY NURSE PRACTITIONER)
(248) 682-6627
Entity
Organization
Contact information
Practice address
2590 ELIZABETH LAKE RD, WATERFORD, MI 48328-3314
(248) 682-6627
Mailing address
1396 SCOTT LAKE RD, WATERFORD, MI 48328-1578
(248) 682-6627
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
06914E
MI
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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