Organization
SPECIALIZED WOUND MANAGEMENT LLC
Active
Organization
SPECIALIZED WOUND MANAGEMENT LLC
Active
Other names
Specialized Wound Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
14805 N OUTER 40 RD, SUITE 320, CHESTERFIELD, MO 63017-6060
(888) 811-4677
(800) 605-8906
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/12/2014
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