Organization
INNOVATIVE WOUND SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA LYNN MATTIMOE (PRESIDENT)
(800) 893-7987
Entity
Organization
Contact information
Practice address
1294 CONANT ST STE 401A, MAUMEE, OH 43537-1676
(800) 893-7987
(888) 972-8650
Mailing address
1294 CONANT ST STE 401A, MAUMEE, OH 43537-1676
(800) 893-7987
(888) 972-8650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201629402788
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/26/2016
Last updated
08/11/2025
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