Organization
MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR O UBOM D.O. (OWNER)
(248) 557-8800
Entity
Organization
Contact information
Practice address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
(248) 557-8860
Mailing address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
(248) 557-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704154415
MI
363L00000X
Nurse Practitioner
4704217515
MI
363L00000X
Nurse Practitioner
Primary
4704248242
MI
Other
Enumeration date
03/15/2011
Last updated
04/19/2011
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