| NPI | 1487952214 |
|---|---|
| Doing Business As | ADVANCED WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY P MCMANMON CEO 269-683-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |