Organization
MICHIGAN INTEGRATIVE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULDAYEM AHMED D.C. (PROVIDER)
(734) 413-7111
Entity
Organization
Contact information
Practice address
15830 FORT ST STE 3, SOUTHGATE, MI 48195-1348
(734) 413-7111
Mailing address
15830 FORT ST STE 3, SOUTHGATE, MI 48195-1348
(734) 413-7111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009967
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043560220
INDIVIDUAL NPI
MI
Enumeration date
05/03/2016
Last updated
08/03/2016
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