MEDICARE: MICHIGAN WELLNESS ASSOCIATES PC

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	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1710681465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN WELLNESS ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2019 WASHTENAW AVE UNIT 5403
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-3656
Country	:	US
Telephone Number	:	858-775-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5816 N SHELDON RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-3153
Country	:	US
Telephone Number	:	858-775-1700
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. PATRICK THOMAS WATERS
Credential	:
Telephone Number	:	858-775-1700

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	03/28/2023

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1659225449 — MS. WANDA MORRISON
Practice Location Address:

5826 N SHELDON RD STE 119
CANTON, MI
48187-3153

Practice Phone: 248-522-7965
Practice Fax:

1649334020 — DR. RONALD KRAYNEK DC
Practice Location Address:

5816 N SHELDON RD
CANTON, MI
48187-3153

Practice Phone: 734-451-1225
Practice Fax: 734-451-2813

1811011885 — KRAYNEK CHIROPRACTIC CLINIC PC
Practice Location Address:

5816 N SHELDON RD
CANTON, MI
48187-3153

Practice Phone: 734-451-1225
Practice Fax: 734-451-2813

1538441316 — DR. JILL ANGELA WARD MD
Practice Location Address:

5816 N SHELDON RD
CANTON, MI
48187-3153

Practice Phone: 858-775-1700
Practice Fax:

1093050536 — MS. KATHLEEN MARIE THOMPSON
Practice Location Address:

5826 N SHELDON RD
CANTON, MI
48187-3153

Practice Phone: 734-419-9975
Practice Fax:

Directions to “MICHIGAN WELLNESS ASSOCIATES PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.