Organization
ADVANCED WOUND CARE & HYPERBARIC PHYSICIANS OF TRAVERSE CITY, PLC
Active
Other names
Advanced Wound Care & Hyperbaric
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE E KAEHLER (BUSINESS MANAGER)
(231) 947-0673
Entity
Organization
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
(801) 740-2847
Mailing address
PO BOX 6327, TRAVERSE CITY, MI 49696-6327
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2766M
MI STATE IDENTIFIER
MI
Enumeration date
09/08/2013
Last updated
09/08/2013
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