New Image Body and Wellness Clinic, PC

NPI #1679523278 in Waterford, Michigan

Provider Information

NPI Number
1679523278
Entity Type
Organization
Organization Name
New Image Body and Wellness Clinic, PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2590 ELIZABETH LAKE RD
ZIP Code
48328-3314
Phone
(248) 682-6627

Authorized Official

Name
MRS. BARBARA JEAN KACEL, FNP-C
Title
FAMILY NURSE PRACTITIONER
Phone
(248) 682-6627

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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