Organization
MICHIANA WEIGHT LOSS AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONAL MITTAL MD (OWNER)
(574) 217-4732
Entity
Organization
Contact information
Practice address
14304 SR 23, GRANGER, IN 46530
(574) 217-4732
Mailing address
14304 SR 23, GRANGER, IN 46530
(574) 217-4732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
08/17/2023
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