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Organization
REVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC
Active
Organization
REVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ELMASRI (ADMIN)
(248) 215-0048
Entity
Organization
Contact information
Practice address
19551 E 10 MILE RD, ROSEVILLE, MI 48066-3998
(313) 717-8738
Mailing address
19551 E 10 MILE RD, ROSEVILLE, MI 48066-3998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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