Wound Care of Wisconsin LLC

NPI #1669296364 in Waupun, Wisconsin

Provider Information

NPI Number
1669296364
Entity Type
Organization
Organization Name
Wound Care of Wisconsin LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 11, 2024
Last Updated
Nov 21, 2024

Practice Location

Address
160 GATEWAY DR
City
Waupun
ZIP Code
53963-2276
Phone
(920) 324-9899

Authorized Official

Name
RANDALL BLOHOWIAK, DC
Title
OWNER
Phone
(920) 324-9899

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
General Practice
Clinic/Center - Primary CarePrimary Care

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