| NPI | 1396432936 |
|---|---|
| Doing Business As | MIDWEST WOUND CARE OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | DAVID ILO Owner 260-417-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |