NPI 1154566958

Public Wellness Assistance INC.

Organisation Primary Care Clinic/Center Waterford, MI

Practice location

Address: 955 W Huron St, Waterford, MI 48328-3727
Phone: (248) 773-2705
Fax: (248) 436-6238
Mailing address: 5119 Highland Rd STE 391, Waterford, MI 48327-1915

Authorised official

Name: Esteban Dagoberto Marichal
Title: President
Phone: (248) 773-2705

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1154566958
Entity type: Organization
NPI issued: 8 Dec 2008
Record last updated: 8 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.