| NPI | 1487428231 |
|---|---|
| Former Legal Business Name | INTEGRATED WELLNESS MD, LLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY MUIR Compliance Officer 410-910-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-12-08 |