Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1841002243 |
| LBN Legal business name | SANA WOUND CARE OKLAHOMA, LLC |
| Authorized official | KATINKA VAN DER MERWE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/22/2025 |
| Last updated | 01/22/2025 - More than a year ago |
| Identifiers | n/a |
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