Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1548002942 |
| LBN Legal business name | ADVANCED WOUNDCARE SPECIALISTS LLC |
| Authorized official | MICHAEL HEBERT - (PRACTICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/07/2024 |
| Last updated | 01/09/2026 - About 5 months ago |
| Identifiers | n/a |
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