Outpatient Wound Solutions, Inc. | |
607 Elmira Rd Suite 165 Vacaville CA 95687-4655 | |
(707) 999-0242 | |
Not Available |
Full Name | Outpatient Wound Solutions, Inc. |
---|---|
Speciality | Family Medicine |
Location | 607 Elmira Rd, Vacaville, California |
Authorized Official Name and Position | Brian Thomas Michaluk (OWNER) |
Authorized Official Contact | 7079990242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Outpatient Wound Solutions, Inc. 607 Elmira Rd Suite 165 Vacaville CA 95687-4655 Ph: (707) 999-0242 | Outpatient Wound Solutions, Inc. 607 Elmira Rd Suite 165 Vacaville CA 95687-4655 Ph: (707) 999-0242 |
NPI Number | 1194017426 |
---|---|
Provider Enumeration Date | 05/04/2011 |
Last Update Date | 04/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194017426 | NPI | - | NPPES |
7618939 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10786 (California) | Primary |
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