OrganizationActive
MD Wellness LLC
NPI 1194240606 · Medical Foods Supplier · Madison Heights, MI
Provider details
- NPI number
- 1194240606
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Vandana Ramaiah, Program Director(727) 687-9102
- License
- L17000121902 (FL)
Specialties & taxonomies
Suppliers
Practice location
28373 Dequindre Rd
Madison Heights, MI 48071-3003
Phone: (313) 209-3353
Fax: (313) 406-7255
Approximate (ZIP-level) locationGet directions
Mailing address
28373 Dequindre Rd
Madison Heights, MI 48071-3003
Registry dates
- Enumerated
- 2017-08-04
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.