National Provider Identifier Database

MICHIGAN WOUND CARE SPECIALISTS PLLC
Wound Care


Contact Information

MICHIGAN WOUND CARE SPECIALISTS PLLC
4641 E PICKARD ST
MOUNT PLEASANT, MI48858-2007
Phone: 989-948-4863
Fax: 989-215-6501
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for MICHIGAN WOUND CARE SPECIALISTS PLLC

NPI Number 1457040610
Legal business name
LBN
MICHIGAN WOUND CARE SPECIALISTS PLLC
Authorized official JOSE RAYGADA - (M.D)
Entity Organization
Organization subpart No
Enumeration date 05/03/2023
Last updated 05/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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