| Mws Wound Solutions Llc | |
|
7610 N Union Blvd Ste 150 Colorado Springs CO 80920-3800 | |
| (719) 434-8810 | |
| Not Available |
| Full Name | Mws Wound Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7610 N Union Blvd Ste 150, Colorado Springs, Colorado |
| Authorized Official Name and Position | Bryan Wogen (MANAGING PARTNER) |
| Authorized Official Contact | 7199220005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mws Wound Solutions Llc 7610 N Union Blvd Ste 150 Colorado Springs CO 80920-3800 Ph: (719) 434-8810 | Mws Wound Solutions Llc 7610 N Union Blvd Ste 150 Colorado Springs CO 80920-3800 Ph: (719) 434-8810 |
| NPI Number | 1184482952 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 2567801541 |
|---|---|
| Medicare Enrollment ID | O20240424000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184482952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mallory B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154787 PECOS PAC ID: 9830518281 Enrollment ID: I20210322002500 |
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