# CLINIC 5C WOUND CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770451254
- **Authorized official:** CAMERON CHESNUT MD (OWNER)
- **Authorized official phone:** (509) 343-0250

## Contact information

- **Practice address:** 1875 N LAKEWOOD DR FL 3, COEUR D ALENE, ID 83814-4928
- **Practice address phone:** (509) 343-0250
- **Mailing address:** 1875 N LAKEWOOD DR FL 3, COEUR D ALENE, ID 83814-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025