Organization
MIDWEST WOUND CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL T BERGREN M.D. (PRESIDENT)
(313) 228-4090
Entity
Organization
Contact information
Practice address
22550 LAW ST, DEARBORN, MI 48124-1087
(313) 228-4090
(313) 565-9827
Mailing address
22550 LAW ST, DEARBORN, MI 48124-1087
(313) 228-4090
(313) 565-9827
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301046893
MI
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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