Organization
WOUNDOLOGY MSO LLC
Active
Organization
WOUNDOLOGY MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BENGSTON (CO-FOUNDER)
(800) 991-7630
Entity
Organization
Contact information
Practice address
615 FERRY ST FL 1, LAFAYETTE, IN 47901-1143
(800) 991-7630
Mailing address
8924 ARABELLA LN, SEMINOLE, FL 33777-2649
(800) 991-7630
(800) 921-1799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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