MEDICARE: PASA WELLNESS CENTER

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
1	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1356205710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASA WELLNESS CENTER

Provider Business Mailing Address
First Line	:	23332 FARMINGTON RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-9991
Country	:	US
Telephone Number	:	313-378-9567
Fax Number	:

Provider Business Practice Location Address
First Line	:	23332 FARMINGTON RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-9991
Country	:	US
Telephone Number	:	313-378-9567
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAMELA M OBARE
Credential	:	FNP/PMHNP
Telephone Number	:	313-378-9567

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “PASA WELLNESS CENTER ” Practice Location

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