Visiting Wound Specialists &primary Care Pllc | |
39393 Van Dyke Ave Ste 101 Sterling Heights MI 48313-4636 | |
(248) 376-9797 | |
Not Available |
Full Name | Visiting Wound Specialists &primary Care Pllc |
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Speciality | Clinic/Center |
Location | 39393 Van Dyke Ave Ste 101, Sterling Heights, Michigan |
Authorized Official Name and Position | Archana Sodha (OWNER) |
Authorized Official Contact | 7149448105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Visiting Wound Specialists &primary Care Pllc 11235 Embassy Ct Shelby Township MI 48315-6681 Ph: () - | Visiting Wound Specialists &primary Care Pllc 39393 Van Dyke Ave Ste 101 Sterling Heights MI 48313-4636 Ph: (248) 376-9797 |
NPI Number | 1760268940 |
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Provider Enumeration Date | 09/05/2023 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 9133578685 |
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Medicare Enrollment ID | O20231211000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760268940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Dwight D Encinas |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1942378757 PECOS PAC ID: 9436160140 Enrollment ID: I20060509000884 |
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