| NPI | 1235182296 |
|---|---|
| Doing Business As | BARIATRIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO/President 937-208-8213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-03-12 |