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Organization
INNOVATIVE WOUND CARE ASSOCIATES INC
Active
Organization
INNOVATIVE WOUND CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P BALKO (PRESIDENT)
(724) 347-0591
Entity
Organization
Contact information
Practice address
790 BOARDMAN CANFIELD RD STE 3, BOARDMAN, OH 44512-4344
(330) 758-4862
(330) 758-4886
Mailing address
100 N KEEL RIDGE RD, HERMITAGE, PA 16148-3440
(724) 347-0591
(724) 347-4901
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2227258
OH
Other
Enumeration date
07/12/2013
Last updated
09/25/2013
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