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Organization
RESIDENTIAL PROFESSIONAL WOUND CARE SPECIALISTS PLLC
Active
Organization
RESIDENTIAL PROFESSIONAL WOUND CARE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIBHI HAZIN MD (OWNER)
(313) 733-8286
Entity
Organization
Contact information
Practice address
20927 KELLY RD STE 1, EASTPOINTE, MI 48021-3128
(313) 733-8286
(313) 826-0899
Mailing address
3611 CARPENTER ST STE 5, DETROIT, MI 48212-2784
(313) 733-8286
(313) 826-0899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/18/2022
Last updated
02/09/2022
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