Michiana Weight Loss and Wellness Clinic LLC

NPI #1821610783 in Granger, Indiana

Provider Information

NPI Number: 1821610783
Entity Type: Organization
Organization Name: Michiana Weight Loss and Wellness Clinic LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 14, 2020
Last Updated: Aug 17, 2023

Practice Location

Address: 14304 SR 23
City: Granger
State: Indiana
ZIP Code: 46530
Phone: (574) 217-4732

Authorized Official

Name: DR. SONAL MITTAL, MD
Title: OWNER
Phone: (574) 217-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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