Organization
PRIMUS WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BORISON MD (OWNER)
(216) 356-6550
Entity
Organization
Contact information
Practice address
23214 RANCH RD, BEACHWOOD, OH 44122-1565
(216) 356-6550
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(216) 645-7242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0857345
—
OH
Enumeration date
08/04/2017
Last updated
08/04/2017
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