| Advanced Wound Care Specialists PC | |
|
1800 W Caro Rd Caro MI 48723-8209 | |
| (989) 625-8399 | |
| Not Available |
| Full Name | Advanced Wound Care Specialists PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 W Caro Rd, Caro, Michigan |
| Authorized Official Name and Position | Tyler Stout (DIRECTOR) |
| Authorized Official Contact | 3373157927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Specialists PC 1800 W Caro Rd Caro MI 48723-8209 Ph: (989) 625-8399 | Advanced Wound Care Specialists PC 1800 W Caro Rd Caro MI 48723-8209 Ph: (989) 625-8399 |
| NPI Number | 1932082203 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 5395222178 |
|---|---|
| Medicare Enrollment ID | O20260122003612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932082203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Heather Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992215768 PECOS PAC ID: 3375803117 Enrollment ID: I20180215002731 |
| Provider Name | Melissa M Outman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326519950 PECOS PAC ID: 1355761412 Enrollment ID: I20201012002638 |
| Provider Name | Emily Cavanaugh Mccullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891264388 PECOS PAC ID: 6002221090 Enrollment ID: I20210225001963 |
| Provider Name | Tara Lynn Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609479740 PECOS PAC ID: 1759784564 Enrollment ID: I20210730000369 |
| Provider Name | Alexandria Conner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457980138 PECOS PAC ID: 9335543883 Enrollment ID: I20250721004055 |
| Provider Name | Annalise Joy Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073496337 PECOS PAC ID: 5890298236 Enrollment ID: I20250911004209 |
| Provider Name | Stephanie Jean Bloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457239410 PECOS PAC ID: 4688179856 Enrollment ID: I20250926003053 |
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