Provider Demographics
NPI:1710611553
Name:YOU BE WELL II PC
Entity Type:Organization
Organization Name:YOU BE WELL II PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:I
Authorized Official - Last Name:BRUNDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-922-0051
Mailing Address - Street 1:9316 INVERNESS RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9564
Mailing Address - Country:US
Mailing Address - Phone:810-922-0051
Mailing Address - Fax:
Practice Address - Street 1:9468 S SAGINAW RD STE B
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-9669
Practice Address - Country:US
Practice Address - Phone:810-445-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty