| Woundology Mso Llc | |
|
615 Ferry St Fl 1 Lafayette IN 47901-1143 | |
| (800) 991-7630 | |
| Not Available |
| Full Name | Woundology Mso Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 Ferry St Fl 1, Lafayette, Indiana |
| Authorized Official Name and Position | Patrick Bengston (CO-FOUNDER) |
| Authorized Official Contact | 8009917630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woundology Mso Llc 8924 Arabella Ln Seminole FL 33777-2649 Ph: (800) 991-7630 | Woundology Mso Llc 615 Ferry St Fl 1 Lafayette IN 47901-1143 Ph: (800) 991-7630 |
| NPI Number | 1568278208 |
|---|---|
| Provider Enumeration Date | 12/07/2024 |
| Last Update Date | 12/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568278208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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