Organization
ADVANCED WOUND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN COBB (PRESIDENT)
(734) 362-8630
Entity
Organization
Contact information
Practice address
2363 W JEFFERSON AVE, SUITE 219, TRENTON, MI 48183-2705
(734) 362-8630
(734) 362-8631
Mailing address
2363 W JEFFERSON AVE, SUITE 219, TRENTON, MI 48183-2705
(734) 362-8630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540H27190
BCBS OF MI
MI
05
—
874963400
—
MI
Enumeration date
01/26/2007
Last updated
03/20/2009
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