Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michiana Wellness and Longevity Clinic, Inc

Organization Internist Chiropractor · NPI 1306954466

Michiana Wellness and Longevity Clinic, Inc is an Internist Chiropractor in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 W Edison Rd Ste G
Mishawaka, IN 46545-8823
Phone: (574) 258-4444
Fax: (574) 258-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internist Chiropractor (primary) Taxonomy 111NI0900X · Licence 08002006A (IN)

Record details

NPI number1306954466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Lyden — President & Ceo · (574) 258-4444
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 30, 2016
Mailing address605 W Edison Rd, Suite G, Mishawaka, IN 46545-8823