Organization · Type 2 NPI

Old Mission Wound Care Arizona PLLC

Specialist · Traverse City, MI

NPI number 1316786379 Active

Practice location

1989 Kroupa Rd
Traverse City, MI 49686-9759

Mailing address

225 Matlage Way Unit 31
Sugar Land, TX 77487-0807

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316786379

Old Mission Wound Care Arizona PLLC's National Provider Identifier is 1316786379, issued on May 20, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 20, 2024.