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Organization

THE ALTERNATIVE WELLNESS CENTER

Active
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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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