| NPI | 1629870035 |
|---|---|
| Former Legal Business Name | WOUND CARE MEDICAL MISSISSIPPI LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEESTADT Owner 737-703-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-18 |