Michiana Wellness and Longevity Clinic, Inc.

NPI #1306954466 in Mishawaka, Indiana

Provider Information

NPI Number
1306954466
Entity Type
Organization
Organization Name
Michiana Wellness and Longevity Clinic, Inc.
Primary Specialty
Chiropractor - Internist
Enumeration Date
Aug 29, 2006
Last Updated
Mar 30, 2016

Practice Location

Address
605 W EDISON RD
Address 2
SUITE G
State
Indiana
ZIP Code
46545-8823
Phone
(574) 258-4444

Authorized Official

Name
DR. WILLIAM JAMES LYDEN, D.C., DABCI, DCBCN
Title
PRESIDENT & CEO
Phone
(574) 258-4444

Specialties & Taxonomy Codes

Specialty
Chiropractor - InternistInternist

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