Healthcare Provider Details

I. General information

NPI: 1174932792
Provider Name (Legal Business Name): WOUND CARE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 S PENNSYLVANIA AVE
LANSING MI
48910-3488
US

IV. Provider business mailing address

1031 E SAGINAW ST
LANSING MI
48906-5519
US

V. Phone/Fax

Practice location:
  • Phone: 517-975-1500
  • Fax: 517-975-1514
Mailing address:
  • Phone: 517-487-1288
  • Fax: 517-487-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLIE R SEARLS
Title or Position: PRESIDENT
Credential: DO
Phone: 517-487-1288