1. Home
  2. Directory
  3. Michigan
  4. Niles
  5. Family Medicine
  6. NPI Profile

ADVANCED WELLNESS CLINIC
NPI 1487952214
Family Medicine in Niles, MI

Active since March 02, 2011
2714 S 11TH ST, SUITE A, NILES, MI 49120(269) 683-1700(269) 683-7038 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WELLNESS CLINIC (NPI 1487952214) is a healthcare organization registered as a family medicine in Niles, Michigan and active in the NPI registry since March 2011. The organization lists Mary P Mcmanmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487952214
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARY PATRICIA MCMANMON MD PC
Location Address2714 S 11TH ST, SUITE ANiles, MI 49120-4761
Mailing Address2714 S 11th St, Suite ANiles, MI 49120-4761 · (269) 683-1700 · Fax (269) 683-7038
Phone(269) 683-1700
Fax(269) 683-7038
Organization SubpartNo
Authorized OfficialMary P McmanmonCeo · (269) 683-1700
Enumeration DateMarch 2, 2011
✔ NPI 1487952214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedChiropractorTaxonomy 111N00000X
2714 S 11TH ST, Niles, MI 49120
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Wellness Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Patricia Mcmanmon MD PC's NPI number?

The NPI number for Mary Patricia Mcmanmon MD PC is 1487952214. It was assigned to this organization in the NPPES registry on March 2, 2011. The provider is doing business as Advanced Wellness Clinic.

Where is Mary Patricia Mcmanmon MD PC located?

Mary Patricia Mcmanmon MD PC is located at 2714 S 11th St Suite A, Niles, MI 49120. The listed phone number is (269) 683-1700.

What is Mary Patricia Mcmanmon MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Patricia Mcmanmon MD PC was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.