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NPI Code Detail

MEDICARE: WOUND WISE LLC

MEDICARE: WOUND WISE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1538957444
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOUND WISE LLC
Provider Business Mailing Address
First Line : 3570 EXECUTIVE DR STE 210
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-8712
Country : US
Telephone Number : 330-433-7770
Fax Number :
Provider Business Practice Location Address
First Line : 6461 FRANK AVE NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-8412
Country : US
Telephone Number : 330-433-7770
Fax Number :
Authorized Official
Title or Position : CEO
Name : LUKE GASKINS
Credential : RN
Telephone Number : 330-433-7770
Provider Enumeration Date : 04/29/2025
Last Update Date : 04/29/2025

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Directions to “WOUND WISE LLC ” Practice Location

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