Healthcare Provider Details

I. General information

NPI: 1790446813
Provider Name (Legal Business Name): SAINI FAMILY WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2022
Last Update Date: 01/02/2022
Certification Date: 01/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W SHIAWASSEE AVE
FENTON MI
48430-2093
US

IV. Provider business mailing address

13109 RIVER ROCK PASS
LINDEN MI
48451-8869
US

V. Phone/Fax

Practice location:
  • Phone: 734-585-6809
  • Fax:
Mailing address:
  • Phone: 734-585-6809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NAVPREET SAINI CONN
Title or Position: OWNER
Credential: DC
Phone: 734-585-6809