| NPI | 1740970656 |
|---|---|
| Doing Business As | MIDWEST WOUND CARE OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | DAVID ILO Owner 260-420-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |