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NPI Code Detail

MEDICARE: HARNISCH WELLNESS CLINIC INC

MEDICARE: HARNISCH WELLNESS CLINIC INC
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
1261QP2300XPrimary Care Clinic/CenterMD0000015067TN

General Provider Information

NPI Number : 1447496435
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARNISCH WELLNESS CLINIC INC
Provider Business Mailing Address
First Line : 1165 GREEN VALLEY DR
Second Line :
City : LEWISBURG
State : TN
Zip : 37091-4205
Country : US
Telephone Number : 615-584-2624
Fax Number : 931-359-6894
Provider Business Practice Location Address
First Line : 1869 HIGHWAY 45 BYP
Second Line : SUITE 2B
City : JACKSON
State : TN
Zip : 38305-2464
Country : US
Telephone Number : 731-512-1880
Fax Number : 731-512-1887
Authorized Official
Title or Position : OWNER/MD
Name : DR. HELNUT K HARNISCH
Credential : MD
Telephone Number : 615-584-2624
Provider Enumeration Date : 12/23/2008
Last Update Date : 01/12/2009

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Directions to “HARNISCH WELLNESS CLINIC INC ” Practice Location

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