| The Wellness Plan | |
|
2888 W Grand Blvd Detroit MI 48202-2612 | |
| (313) 875-4200 | |
| (313) 875-5611 |
| Full Name | The Wellness Plan |
|---|---|
| Speciality | Internal Medicine |
| Location | 2888 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Anthony V King (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3132028660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Plan 2888 W Grand Blvd Detroit MI 48202-2612 | The Wellness Plan 2888 W Grand Blvd Detroit MI 48202-2612 Ph: (313) 875-4200 |
| NPI Number | 1649229287 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649229287 | NPI | - | NPPES |
| 1720123029 | Other | MI | NPI |
| 5078418 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301038485 (Michigan) | Primary |
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