| Arise Wound Institute Pllc | |
|
7447 Egan Dr Ste 207 Savage MN 55378-3301 | |
| (763) 381-5607 | |
| (952) 213-4647 |
| Full Name | Arise Wound Institute Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7447 Egan Dr Ste 207, Savage, Minnesota |
| Authorized Official Name and Position | Nana Wilmot-desouza (OWNER) |
| Authorized Official Contact | 7633815607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Wound Institute Pllc 7447 Egan Dr Ste 207 Savage MN 55378-3301 Ph: (763) 381-5607 | Arise Wound Institute Pllc 7447 Egan Dr Ste 207 Savage MN 55378-3301 Ph: (763) 381-5607 |
| NPI Number | 1821892746 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 7517483571 |
|---|---|
| Medicare Enrollment ID | O20250502001037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821892746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Nana A Wilmot-desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396009247 PECOS PAC ID: 4385959972 Enrollment ID: I20150811005077 |
| Provider Name | Julitta Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356119523 PECOS PAC ID: 5799121125 Enrollment ID: I20240307004039 |
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Arise Family Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7447 Egan Dr Ste 207, Savage, MN 55378 Phone: 763-381-5607 | |
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