| Midwest Wound Care of Fort Wayne | |
|
327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 | |
| (260) 420-2800 | |
| Not Available |
| Full Name | Midwest Wound Care of Fort Wayne |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 E Wayne St Ste 175, Fort Wayne, Indiana |
| Authorized Official Name and Position | David Ilo (OWNER) |
| Authorized Official Contact | 2604202800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Wound Care of Fort Wayne 327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 Ph: (260) 420-2800 | Midwest Wound Care of Fort Wayne 327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 Ph: (260) 420-2800 |
| NPI Number | 1740970656 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740970656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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