Organization
TAHOE WOUND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID I. MITTLEMAN (PRESIDENT AND OWNER)
(775) 832-7200
Entity
Organization
Contact information
Practice address
865 TAHOE BLVD STE 113, INCLINE VILLAGE, NV 89451-9449
(775) 832-7200
(775) 832-7201
Mailing address
865 TAHOE BLVD STE 113, INCLINE VILLAGE, NV 89451-9449
(775) 832-7200
(775) 832-7201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-3011
NV
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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