NPI | 1578376869 |
---|---|
Doing Business As | THE WOUND HEALER |
Entity Type | Organization |
Authorized Contact | MATTHEW ELAM Secretary 937-626-4558 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2025-01-30 |
Last Update Date | 2025-08-07 |