| NPI | 1861666141 |
|---|---|
| Doing Business As | SYCAMORE WOUND CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIBACH Director Of Network Contracting 937-558-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2012-10-30 |