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WOUND SPECIALISTS OF MICHIGAN P.L.L.C. NPI 1063592350


NPI Information

NPI: 1063592350
Provider Name: WOUND SPECIALISTS OF MICHIGAN, P.L.L.C.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2900 GOLFSIDE DR
SUITE 4
ANN ARBOR, MI
ZIP 48108
Phone: (866) 645-5578
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WOUND SPECIALISTS OF MICHIGAN, P.L.L.C. is a surgery in Ann Arbor, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. WOUND SPECIALISTS OF MICHIGAN, P.L.L.C. NPI is 1063592350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 GOLFSIDE DR
SUITE 4
ANN ARBOR, MI
ZIP 48108-410
Phone: (866) 645-5578
Fax: (888) 528-0919

The provider's authorized official is Frank Bongiorno .
The authorized official title is Owner and has the following contact phone number (866) 645-5578.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301060835MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N38400MEDICARE PIN
20N38410MEDICARE PIN
30N17190MEDICARE PIN
44281939MEDICAIDMICHIGAN
50P17200MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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