| Ivps Wound Care Pllc | |
|
18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 | |
| (248) 327-6196 | |
| Not Available |
| Full Name | Ivps Wound Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18000 W 9 Mile Rd Ste 525, Southfield, Michigan |
| Authorized Official Name and Position | Jonathan W Cholak (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2484978721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivps Wound Care Pllc 18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 Ph: (248) 327-6196 | Ivps Wound Care Pllc 18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080 Ph: (248) 327-6196 |
| NPI Number | 1891534939 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891534939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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