MIDWEST WOUND CARE ASSOCIATES, PC
Radiology at Law St, Dearborn, MI

License number
Michigan 4301046893
Category
Radiology
Type
Surgery
Owner
Name: DR. CARL T BERGREN M.D.
Title: PRESIDENT
Phone: (313) 228-4090
Address
Address
22550 Law St, Dearborn, MI 48124
National Provider ID: 1477754604
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIDWEST WOUND CARE ASSOCIATES, PC

Dearborn, MI

Status:
Inactive
Registration:
Apr 25, 2007
Addresses:
22550 Law Ave, Dearborn, MI 48124 (Physical)
Michigan (Mailing)
State ID:
00814T
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Agent:
Carl Bergren

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