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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
2086S0129X
Vascular Surgery Physician
Primary
5101007418
MI
363L00000X
Nurse Practitioner
4704154415
MI
363L00000X
Nurse Practitioner
4704217515
MI
363L00000X
Nurse Practitioner
4704248242
MI

Other

Enumeration date
03/15/2011
Last updated
10/18/2011
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