Organization · NPI-2

Nuvantage Wound Care Solutions PLLC

Plastic Surgery · Southfield, MI

NPI number1285100719
StatusActive
Last updated in NPPESOct 23, 2018

Details

NPI
1285100719
Entity type
Organization (NPI-2)
Legal business name
Nuvantage Wound Care Solutions PLLC
Organization subpart
No
Enumeration date
Oct 23, 2018
Last updated
Oct 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery––Yes

Practice location

21717 Rose Hollow Dr
Southfield, MI 48075-5508

Phone 313-520-1889

Mailing address

Po Box 3261
Farmington Hills, MI 48333-3261

Phone 313-520-1889

Authorized official

Delorean Griffin
Ceo
3135201889

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