Organization
MIDWEST WOUND CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LANG (PRESIDENT)
(513) 288-8445
Entity
Organization
Contact information
Practice address
8000 EVERGREEN RIDGE DR, CINCINNATI, OH 45215-5750
(513) 948-2344
Mailing address
1 RIVERFRONT PL FL 6, NEWPORT, KY 41071-4572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002068
OH
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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