# SPECIALIZED WOUND MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Specialized Wound Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962430157
- **Authorized official:** MR. GAIL LEE HARTMANN (TREASURER)
- **Authorized official phone:** (636) 733-7000

## Contact information

- **Practice address:** 14805 N OUTER 40 RD, SUITE 320, CHESTERFIELD, MO 63017-6060
- **Practice address phone:** (888) 811-4677
- **Practice address fax:** (800) 605-8906
- **Mailing address:** 14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
- **Mailing address phone:** (636) 733-7000
- **Mailing address fax:** (636) 733-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/12/2014