MERIDIAN WELLNESS PLLC NPI 1124631445

NPI Information

  • NPI: 1124631445
  • Provider Name: MERIDIAN WELLNESS, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AVENUE HEALTH
  • CLIA Number: 23D2210185
  • Address: 2422 JOLLY RD STE 100
    OKEMOS, MI
    ZIP 48864
  • Phone: (517) 618-9507

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NPI Details

MERIDIAN WELLNESS, PLLC is a family medicine in Okemos, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERIDIAN WELLNESS, PLLC NPI is 1124631445. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Avenue Health.

The provider's business location address is:

2422 JOLLY RD STE 100
OKEMOS, MI
ZIP 48864-690
Phone: (517) 618-9507

The provider's authorized official is Michelle Gormas .
The authorized official title is Manager and has the following contact phone number (517) 618-9507.

The CLIA number assigned to this NPI record is 23D2210185 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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