Midwest Wound & Wellness Llc
Clinic/Center in Farmington, MO(View on Map)
Legal Business Name
Midwest Wound & Wellness Llc
NPI Number
1215467733
NPI Type
Organization
Enumeration Date
06/18/2017
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
555 W PINE ST
555 W PINE ST
City
Farmington
Farmington
State
MO
MO
Postal Code
63640-1439
63640-1439
Country
US
US
Telephone Number
(573) 747-1510
(573) 747-1510
Authorized Official
Name
Kelly Roberts
Title or Position
OWNER
Telephone Number
(573) 747-1510
Identifiers
Identifier
1568912129
Identifier State
MO
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022
Provider Address
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