MEDICARE: WELLNESS WITHIN FAMILY CHIROPRACTIC, PLLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1437848264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS WITHIN FAMILY CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	1106 S SAGINAW RD
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-6811
Country	:	US
Telephone Number	:	989-315-1146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 S SAGINAW RD
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-6811
Country	:	US
Telephone Number	:	989-492-0503
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	MADISON CHAMPAGNE
Credential	:	DC
Telephone Number	:	989-315-1146

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	03/24/2026

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