Organization
INSTITUTE OF SLEEP & WELLNESS LLC
Active
Parent organization
INSTITUTE OF SLEEP & WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTE OF SLEEP & WELLNESS LLC
Authorized official
MR. ANTONY MINICUCI (OWNER)
(586) 263-8144
Entity
Organization
Contact information
Practice address
24361 GREENFIELD RD, SUITE 209, SOUTHFIELD, MI 48075-3139
(248) 443-8487
(586) 263-8155
Mailing address
15930 19 MILE RD, SUITE 140, CLINTON TWP, MI 48038-1155
(586) 263-8144
(586) 263-8155
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
4301405226
MI
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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