| The Wellness Plan | |
|
46156 Woodward Ave Pontiac MI 48342-5033 | |
| (248) 897-0900 | |
| (248) 858-6499 |
| Full Name | The Wellness Plan |
|---|---|
| Speciality | Clinic/Center |
| Location | 46156 Woodward Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Anthony V King (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3132028550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Plan 7700 2nd Ave Detroit MI 48202-2477 Ph: (313) 202-8660 | The Wellness Plan 46156 Woodward Ave Pontiac MI 48342-5033 Ph: (248) 897-0900 |
| NPI Number | 1235651381 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Medicare PECOS PAC ID | 1052380201 |
|---|---|
| Medicare Enrollment ID | O20170922000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235651381 | NPI | - | NPPES |
| PENDING | Other | MI | PER WPS |
| 1235651381 | Other | PER WPS |
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