# WOUND CARE CLINICS OF AMERICA, P.C.

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

## Provider details

- **NPI number:** 1952469587
- **Authorized official:** DR. VICTOR O UBOM DO (OWNER)
- **Authorized official phone:** (248) 557-8800

## Contact information

- **Practice address:** 24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
- **Practice address phone:** (248) 557-8800
- **Practice address fax:** (248) 557-8860
- **Mailing address:** 24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
- **Mailing address phone:** (248) 557-8800
- **Mailing address fax:** (248) 557-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704127273 | MI | — |
| 363L00000X | Nurse Practitioner | 4704154666 | MI | — |
| 363L00000X | Nurse Practitioner | 4704170335 | MI | — |
| 363L00000X | Nurse Practitioner | 4704217515 | MI | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4661052-11 | — | MI |
| 05 | — | 4661061-11 | — | MI |
| 05 | — | 4737894-11 | — | MI |
| 05 | — | 4868706-11 | — | MI |
| 01 | — | 500F324120 | BCBSM | MI |