Old Mission Medicine Wound Care New York Pllc
NPI #1043059298 in Traverse City, Michigan
Provider Information
- NPI Number
- 1043059298
- Entity Type
- Organization
- Organization Name
- Old Mission Medicine Wound Care New York Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- May 20, 2024
- Last Updated
- Aug 24, 2024
Practice Location
- Address
- 1989 KROUPA RD
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686-9759
- Phone
- (231) 260-4622
Authorized Official
- Name
- DR. CHRISTOPHER PAUL MASON, DO
- Title
- OWNER
- Phone
- (231) 260-4622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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