| Centra Wellness Network | |
|
310 Glocheski Dr Manistee MI 49660-2639 | |
| (877) 398-2013 | |
| (231) 723-1504 |
| Full Name | Centra Wellness Network |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 310 Glocheski Dr, Manistee, Michigan |
| Authorized Official Name and Position | Donna J Nieman (CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 8773982013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Wellness Network 310 Glocheski Dr Manistee MI 49660-2639 Ph: (877) 398-2013 | Centra Wellness Network 310 Glocheski Dr Manistee MI 49660-2639 Ph: (877) 398-2013 |
| NPI Number | 1366806432 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366806432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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