NPI 1194240606

MD Wellness LLC

Organisation Medical Foods Supplier Madison Heights, MI

Practice location

Address: 28373 Dequindre Rd, Madison Heights, MI 48071-3003
Phone: (313) 209-3353
Fax: (313) 406-7255

Authorised official

Name: Vandana Ramaiah
Title: Program Director
Phone: (727) 687-9102

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X Licence L17000121902 (FL)

Other Medical Foods Supplier providers in Michigan →

Registry record

NPI: 1194240606
Entity type: Organization
NPI issued: 4 Aug 2017
Record last updated: 21 Jul 2022

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.