| Wise Wellness Center LLC | |
|
1132 28th Ave S Ste 101a Moorhead MN 56560-4420 | |
| (612) 443-9032 | |
| Not Available |
| Full Name | Wise Wellness Center LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1132 28th Ave S Ste 101a, Moorhead, Minnesota |
| Authorized Official Name and Position | Cani Adan (OWNER) |
| Authorized Official Contact | 6124439032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Wellness Center LLC 1132 28th Ave S Ste 101a Moorhead MN 56560-4420 | Wise Wellness Center LLC 1132 28th Ave S Ste 101a Moorhead MN 56560-4420 Ph: (612) 443-9032 |
| NPI Number | 1649033705 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649033705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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