MD Wellness LLC
NPI #1194240606 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1194240606
- Entity Type
- Organization
- Organization Name
- MD Wellness LLC
- Primary Specialty
- Medical Foods Supplier
- Enumeration Date
- Aug 4, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 28373 DEQUINDRE RD
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-3003
- Phone
- (313) 209-3353
Authorized Official
- Name
- MRS. VANDANA RAMAIAH, MS
- Title
- PROGRAM DIRECTOR
- Phone
- (727) 687-9102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Foods Supplier |
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