Organization
MICHIANA WEIGHT LOSS AND WELLNESS CLINIC LLC
Active
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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