OLD MISSION MEDICINE WOUND CARE NEW YORK PLLC
NPI 1043059298
Specialist in Traverse City, MI

Q: What is Old Mission Medicine Wound Care New York PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 20, 2024

1989 KROUPA RD, TRAVERSE CITY, MI 49686(231) 260-4622 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2024, Aug 18, 2024 (2 updates tracked since 2024).

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About Old Mission Medicine Wound Care New York Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD MISSION MEDICINE WOUND CARE NEW YORK PLLC (NPI 1043059298) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since May 2024. The organization lists Christopher Paul Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1043059298

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOLD MISSION MEDICINE WOUND CARE NEW YORK PLLC

Location Address1989 KROUPA RDTraverse City, MI 49686-9759

Mailing Address225 Matlage Way Unit 31Sugar Land, TX 77487-0807 · (231) 260-4622

Phone(231) 260-4622

Organization SubpartNo

Authorized OfficialChristopher Paul MasonOwner · (231) 260-4622

Enumeration DateMay 20, 2024

Last NPPES UpdateAugust 24, 20242 updates tracked since enumeration

NPPES CertifiedAugust 24, 2024

✔ NPI 1043059298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1989 KROUPA RD, Traverse City, MI 49686

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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