| NPI | 1073982070 |
|---|---|
| Doing Business As | BELLIS THERAPEUTIC SPA |
| Entity Type | Organization |
| Authorized Contact | BRANDI ELLIS Owner 248-442-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI 7501005119) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: MI 2705003188) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |