OLD MISSION WOUND CARE MINNESOTA PLLC
NPI 1316777865
Specialist in Traverse City, MI

Q: What is Old Mission Wound Care Minnesota PLLC's specialty?

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

Active since August 07, 2024

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

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Aug 16, 2024, Aug 7, 2024 (3 updates tracked since 2024).

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About Old Mission Wound Care Minnesota Pllc NPPES

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

OLD MISSION WOUND CARE MINNESOTA PLLC (NPI 1316777865) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since August 2024. The organization lists Christopher Paul Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1316777865

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOLD MISSION WOUND CARE MINNESOTA 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 DateAugust 7, 2024

Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1316777865 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.

OLD MISSION MEDICINE WOUND CARE NEW YORK PLLC

Specialist