| NPI | 1679123350 |
|---|---|
| Other Name | GCMC PROFEES WOUND CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID A POLAND Chief Financial Officer 724-450-7198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |