| Organization Name: | OM HEALTH & WELLNESS |
| NPI Number: | 1386963833 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCUS JOHN MARLOW (OWNER) |
| Mailing Address: | 1003 Devonshire Rd Grosse Pointe |
| State: | MI US |
| Postal Code: | 482301416 |
| Phone Number: | 5175057325 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2010 |
| NPI Last Update Date: | 05/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |