| NPI | 1942591722 |
|---|---|
| Doing Business As | MIDWEST WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BRAD HAMBLEN Owner/ Member 859-746-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 208D00000X General Practice | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-07-21 |