| NPI | 1386736536 |
|---|---|
| Doing Business As | WELLNESS PHYSICAL MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIE THERESA CHISHOLM Practice Manager 586-412-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 028777) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 052399) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 405324) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 051833) | |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601002721) | |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601003971) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-08-19 |