MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.

MISHAWAKA, IN
NPI1306954466
Entity TypeOrganization
Authorized ContactWILLIAM JAMES LYDEN
President & CEO
574-258-4444
Organization Subpart ?No
Primary Taxonomy111NI0900X Chiropractor, Internist
(Licence: IN  08002006A)
Enumeration Date2006-08-29
Last Update Date2016-03-30
Business Address
MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
605 W EDISON RD SUITE G
MISHAWAKA, IN 46545-8823
Phone number: 574-258-4444
Mailing Address
MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
605 W EDISON RD SUITE G
MISHAWAKA, IN 46545-8823
Phone number: 574-258-4444