Organization
THE ALTERNATIVE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO GONZALES D.C. (OWNER)
(269) 684-4200
Entity
Organization
Contact information
Practice address
920 LAMBERT ST, NILES, MI 49120-3413
(269) 684-4200
(269) 262-0943
Mailing address
920 LAMBERT ST, NILES, MI 49120-3413
(269) 684-4200
(269) 262-0943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001868A
IN
111N00000X
Chiropractor
2301008841
MI
111NN1001X
Nutrition Chiropractor
2301008841
MI
111NR0400X
Rehabilitation Chiropractor
Primary
2301008841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258400
—
IN
Enumeration date
11/13/2011
Last updated
11/13/2011
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