Organization
REGEN WOUND & WELLNESS
Active
Other names
ReGen Wound & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MATT ELAM (OWNER)
(937) 458-3803
Entity
Organization
Contact information
Practice address
67 MARYDALE DR, DAYTON, OH 45440-2358
(578) 376-6869
Mailing address
67 MARYDALE DR, DAYTON, OH 45440-2358
(937) 626-4558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/18/2025
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