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NPI Code Detail

MEDICARE: MEDICAL WELLNESS GROUP LLC

MEDICARE: MEDICAL WELLNESS GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianOH

General Provider Information

NPI Number : 1225419914
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL WELLNESS GROUP LLC
Provider Business Mailing Address
First Line : 100 HIGHVIEW BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-6023
Country : US
Telephone Number : 614-266-2029
Fax Number : 616-492-9440
Provider Business Practice Location Address
First Line : 100 HIGHVIEW BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-6023
Country : US
Telephone Number : 614-266-2029
Fax Number : 616-492-9440
Authorized Official
Title or Position : OWNER
Name : JAMES APPELL
Credential :
Telephone Number : 614-266-2029
Provider Enumeration Date : 06/18/2015
Last Update Date : 06/18/2015

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Directions to “MEDICAL WELLNESS GROUP LLC ” Practice Location

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