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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1093470445 |
| LBN Legal business name | CORSTRATA, INC. |
| Authorized official | JOSEPH EBBERWEIN - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/01/2021 |
| Last updated | 11/01/2021 - About 5 years ago |
| Identifiers | n/a |
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CORSTRATA, INC.
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CORSTRATA, INC.