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Organization

WELLNESS CARE CENTER LLC

Active
Parent organization
WELLNESS CARE CENTER LLC
Other names
wellness care center llc
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLNESS CARE CENTER LLC
Authorized official
BERNARD L FOSTER (OWNER)
(248) 703-0047
Entity
Organization

Contact information

Practice address
25900 GREENFIELD RD, STE 411, OAK PARK, MI 48237-1292
(248) 703-0047
Mailing address
25900 GREENFIELD RD, STE 411, OAK PARK, MI 48237-1292
(248) 703-0047

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
174400000X
Specialist
MI
174400000X
Specialist
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
01/08/2016
Last updated
09/27/2016
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