Medical Health & Wellness Clinic LLC
NPI #1699247429 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1699247429
- Entity Type
- Organization
- Organization Name
- Medical Health & Wellness Clinic LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 18, 2018
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1910 CALUMET AVE
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2704
- Phone
- (219) 462-0014
Authorized Official
- Name
- TIKIRI RATNAYAKE, MD
- Title
- SOLE MEMBER
- Phone
- (219) 462-0014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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