| Obesity Medicine & Metabolic Wellness Clinic Pllc | |
|
901 E Indian St Midland MI 48640-5397 | |
| (989) 423-0645 | |
| Not Available |
| Full Name | Obesity Medicine & Metabolic Wellness Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 E Indian St, Midland, Michigan |
| Authorized Official Name and Position | Jacob Gorelishvili (MANAGER) |
| Authorized Official Contact | 9894230645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Obesity Medicine & Metabolic Wellness Clinic Pllc 901 E Indian St Midland MI 48640-5397 Ph: (989) 423-0645 | Obesity Medicine & Metabolic Wellness Clinic Pllc 901 E Indian St Midland MI 48640-5397 Ph: (989) 423-0645 |
| NPI Number | 1366180671 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/02/2025 |
| Medicare PECOS PAC ID | 6002295722 |
|---|---|
| Medicare Enrollment ID | O20220627000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366180671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Teona Maghlakelidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508078023 PECOS PAC ID: 7214036169 Enrollment ID: I20070619000256 |
| Provider Name | Rachael D Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053745257 PECOS PAC ID: 9739312943 Enrollment ID: I20140423001468 |
| Provider Name | Melinda L Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326649617 PECOS PAC ID: 8628481231 Enrollment ID: I20201228001431 |
| Provider Name | Lauren Rae Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881356517 PECOS PAC ID: 8426448697 Enrollment ID: I20211201002467 |
| Provider Name | Brandon G Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194390310 PECOS PAC ID: 2163824426 Enrollment ID: I20240812003557 |
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