Organization Name: | NORTHLAND MEDICAL AND WELLNESS CENTER LLC |
NPI Number: | 1265465363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BRITTON (OWNER MANAGER) |
Mailing Address: | 8355 Nw Barrybrooke Dr Kansas City |
State: | MO US |
Postal Code: | 641511024 |
Phone Number: | 8167410018 |
Fax Number: | 8167410659 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
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Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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