| Michiana Weight Loss And Wellness Clinic Llc | |
|
14304 Sr 23 Granger IN 46530 | |
| (574) 217-4732 | |
| Not Available |
| Full Name | Michiana Weight Loss And Wellness Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14304 Sr 23, Granger, Indiana |
| Authorized Official Name and Position | Sonal Mittal (OWNER) |
| Authorized Official Contact | 5742174732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Weight Loss And Wellness Clinic Llc 14304 Sr 23 Granger IN 46530 Ph: (574) 217-4732 | Michiana Weight Loss And Wellness Clinic Llc 14304 Sr 23 Granger IN 46530 Ph: (574) 217-4732 |
| NPI Number | 1821610783 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821610783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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