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Wound Company Provider Group, P.A. — NPI 1225749542, Minneapolis, MN | NPI Central

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NPI 1225749542

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Wound Company Provider Group, P.A.

NPI 1225749542 · Wound Care Registered Nurse · Minneapolis, MN

Provider details

NPI number: 1225749542
Entity type: Organization
Primary specialty: Wound Care Registered NurseNursing Service Providers
Organization subpart: No
Authorized official: Brantley Jolly, President(703) 447-6897

Specialties & taxonomies

Wound Care Registered NursePrimary163WW0000X
Nursing Service Providers
Continence Care Registered Nurse163WC2100X
Nursing Service Providers
Enterostomal Therapy Registered Nurse163WE0900X
Nursing Service Providers

Practice location

2240 Drew Ave S

Minneapolis, MN 55416-3646

Phone: (858) 774-6305

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

2240 Drew Ave S

Minneapolis, MN 55416-3646

Registry dates

Enumerated: 2022-12-07
Last updated: 2022-12-07
Certified: 2022-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.