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Organization
WOUND CARE CLINICS OF AMERICA PC
Active
Organization
WOUND CARE CLINICS OF AMERICA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR UBOM (OWNER DO)
(248) 557-8800
Entity
Organization
Contact information
Practice address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
(248) 557-8860
Mailing address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
(248) 557-8860
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5101007418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0658216575
BCBS
MI
05
—
306404811
—
MI
Enumeration date
05/28/2008
Last updated
06/18/2008
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