Healthcare Provider Details
I. General information
NPI: 1417207705
Provider Name (Legal Business Name): WOUND CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2012
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42633 GARFIELD RD SUITE 315
CLINTON TWP MI
48038-5033
US
IV. Provider business mailing address
42633 GARFIELD RD SUITE 315
CLINTON TWP MI
48038-5033
US
V. Phone/Fax
- Phone: 855-819-6863
- Fax:
- Phone: 855-819-6863
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NAEEM
I
BHATTI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 855-819-6863