Hoosier Wellness Providers, LLC
NPI #1023886488 in Bloomington, Indiana
Provider Information
- NPI Number
- 1023886488
- Entity Type
- Organization
- Organization Name
- Hoosier Wellness Providers, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOOSIER WELLNESS PROVIDERS, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 15, 2023
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 421 W 1ST ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2403
- Phone
- (561) 635-2400
Authorized Official
- Name
- KIRILL VESSELOV
- Title
- PRESIDENT
- Phone
- (561) 635-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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