| Organization Name: | WOUND CARE CENTER, LLC |
| NPI Number: | 1083652556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES N TOPOLGUS (MEMBER) |
| Mailing Address: | 2920 Mcintyre Dr Suite 103 Bloomington |
| State: | IN US |
| Postal Code: | 474034221 |
| Phone Number: | 8123532870 |
| Fax Number: | 8123532881 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| 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: | |