Organization
OLD MISSION WOUND CARE WEST VIRGINIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PAUL MASON DO (OWNER)
(231) 260-6422
Entity
Organization
Contact information
Practice address
1989 KROUPA RD, TRAVERSE CITY, MI 49686-9759
(231) 260-4622
Mailing address
225 MATLAGE WAY UNIT 31, SUGAR LAND, TX 77487-0807
(231) 260-4622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/16/2024
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