| NPI | 1396563821 |
|---|---|
| Doing Business As | LIFE IV WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN HENRY CEO 517-273-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2026-02-26 |