Renew Wound Care of Missouri LLC
NPI #1659038123 in Valley Park, Missouri
Provider Information
- NPI Number
- 1659038123
- Entity Type
- Organization
- Organization Name
- Renew Wound Care of Missouri LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 110 HIGHLAND AVE
- City
- Valley Park
- State
- Missouri
- ZIP Code
- 63088-1422
- Phone
- (929) 491-7700
Authorized Official
- Name
- JOSEPH WIESENFELD
- Title
- ADMINISTRATOR
- Phone
- (718) 408-8860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Wound Care — Wound Care |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine |
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