Healthcare Provider Details

I. General information

NPI: 1932029956
Provider Name (Legal Business Name): YOUR WOUND ALLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 W ROYALE DR
MUNCIE IN
47304-2240
US

IV. Provider business mailing address

1714 W ROYALE DR
MUNCIE IN
47304-2240
US

V. Phone/Fax

Practice location:
  • Phone: 317-943-9338
  • Fax:
Mailing address:
  • Phone: 317-943-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL THORPE
Title or Position: MD/SOLE MEMBER/AUTHORIZED OFFICIAL
Credential: MD
Phone: 317-943-9338