Minnesota Wound Care LLC
General Practice in Minneapolis, MN. Organization (NPI-2).
Details
- NPI
- 1760141980
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Wound Care LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- Genevive (Doing Business As)
Practice location
3433 Broadway St Ne Ste 300Minneapolis, MN 55413-1761
Phone 763-587-7737 · Fax 763-587-7069
Mailing address
3433 Broadway St Ne Ste 300Minneapolis, MN 55413-1761
Phone 763-587-7737 · Fax 763-587-7069
Authorized official
Amanda Tufano
Ceo And Treasurer
4692311545
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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