Hoosier Wellness Providers, Llc | |
421 W 1st St Bloomington IN 47403-2403 | |
(561) 635-2400 | |
Not Available |
Full Name | Hoosier Wellness Providers, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 421 W 1st St, Bloomington, Indiana |
Authorized Official Name and Position | Kirill Vesselov (PRESIDENT) |
Authorized Official Contact | 5616352400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hoosier Wellness Providers, Llc 2925 10th Ave N Palm Springs FL 33461-3000 Ph: () - | Hoosier Wellness Providers, Llc 421 W 1st St Bloomington IN 47403-2403 Ph: (561) 635-2400 |
NPI Number | 1023886488 |
---|---|
Provider Enumeration Date | 12/15/2023 |
Last Update Date | 12/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023886488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
News Archive
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