Organization · Type 2 NPI

Divine Wound Specialist L.l.c

Geriatric Medicine (Family Medicine) Physician · Crown Point, IN

NPI number 1902750854 Active

Practice location

250 N Main St Unit 11K
Crown Point, IN 46307-3278

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

About NPI 1902750854

Divine Wound Specialist L.l.c's National Provider Identifier is 1902750854, issued on Feb 25, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Crown Point, IN. The record was last updated on Apr 8, 2026.