| Wound Care Zone PLLC | |
|
600 Broadway Ave Nw Apt 423 Grand Rapids MI 49504-7324 | |
| (616) 606-0703 | |
| (616) 552-8656 |
| Full Name | Wound Care Zone PLLC |
|---|---|
| Speciality | Physician Assistant |
| Location | 600 Broadway Ave Nw Apt 423, Grand Rapids, Michigan |
| Authorized Official Name and Position | Eric Kreckman (PRESIDENT) |
| Authorized Official Contact | 9894920492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Zone PLLC 600 Broadway Ave Nw Apt 423 Grand Rapids MI 49504-7324 Ph: (616) 606-0703 | Wound Care Zone PLLC 600 Broadway Ave Nw Apt 423 Grand Rapids MI 49504-7324 Ph: (616) 606-0703 |
| NPI Number | 1821899279 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 12/05/2025 |
| Certification Date | 12/05/2025 |
| Medicare PECOS PAC ID | 2860916665 |
|---|---|
| Medicare Enrollment ID | O20250414000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821899279 | NPI | - | NPPES |
| Provider Name | Eric T Kreckman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538599733 PECOS PAC ID: 5597701987 Enrollment ID: I20140312000786 |
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