| Organization Name: | AMERIWOUND PHYSICIANS PA LLC |
| NPI Number: | 1043679855 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL BORISON (OWNER/CMO) |
| Mailing Address: | 5800 Landerbrook Dr Ste 100 Mayfield Heights |
| State: | OH US |
| Postal Code: | 441246510 |
| Phone Number: | 2162739800 |
| Fax Number: | 2162739998 |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |