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Organization

WOUND SPECIALISTS OF MICHIGAN, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK BONGIORNO MD (OWNER)
(866) 645-5578
Entity
Organization

Contact information

Practice address
2900 GOLFSIDE DR, SUITE 4, ANN ARBOR, MI 48108-1410
(866) 645-5578
(888) 528-0919
Mailing address
2900 GOLFSIDE DR, SUITE 4, ANN ARBOR, MI 48108-1410
(866) 645-5578
(888) 528-0919

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301060835
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4281939
MI
Enumeration date
10/17/2006
Last updated
07/18/2008
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