| Advanced Total Wound Care | |
|
912 S. Euclid Ave Bay City MI 48706 | |
| (989) 391-9872 | |
| (989) 391-9875 |
| Full Name | Advanced Total Wound Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 912 S. Euclid Ave, Bay City, Michigan |
| Authorized Official Name and Position | Tracy Robertson (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9893919872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Total Wound Care 912 S. Euclid Ave Bay City MI 48706 Ph: (989) 391-9872 | Advanced Total Wound Care 912 S. Euclid Ave Bay City MI 48706 Ph: (989) 391-9872 |
| NPI Number | 1285217927 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 03/08/2022 |
| Medicare PECOS PAC ID | 5193127538 |
|---|---|
| Medicare Enrollment ID | O20210708000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285217927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tracy Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253975 PECOS PAC ID: 8022398395 Enrollment ID: I20161201001963 |
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