| NPI | 1427933498 |
|---|---|
| Other Name | REGEN WOUND & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MATT ELAM Owner 937-458-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-18 |