Residential Professional Wound Care Specialists PLLC
Internal Medicine in Highland Park, MI. Organization (NPI-2).
NPI number1144971482
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1144971482
- Entity type
- Organization (NPI-2)
- Legal business name
- Residential Professional Wound Care Specialists PLLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 213ES0131X | – | – | ||
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
1535 E State FairHighland Park, MI 48203-1257
Phone 313-733-8286 · Fax 313-826-0899
Mailing address
1535 E State FairHighland Park, MI 48203-1257
Phone 313-733-8286 · Fax 313-826-0899
Authorized official
Ribhi Hazin
Owner
3137338286
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