| 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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