Wellness Networks, INC
Family Medicine in Highland Park, MI. Organization (NPI-2).
NPI number1154712271
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1154712271
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Networks, INC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2015
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
64 Victor StHighland Park, MI 48203-3128
Phone 313-446-9800 · Fax 313-446-9839
Mailing address
Dept Ch 14583Palatine, IL 60055-0001
Phone 866-525-5484 · Fax 833-394-4961
Authorized official
Tanya Mauldin
Provider Enrollment Manger
4142251611
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