| NPI | 1962024612 |
|---|---|
| Former Legal Business Name | WELLGROUP HEALTHPARTNERS LLC |
| Entity Type | Organization |
| Authorized Contact | DONNA PHALEN Director 219-554-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2023-02-27 |