Organization
PIONEER WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM FARAH RN (STAFF)
(612) 205-7792
Entity
Organization
Contact information
Practice address
5821 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1487
(612) 568-8949
Mailing address
5821 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1487
(612) 568-8949
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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