Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Wound Healing & Dermatology

Organization Dermatology Physician · NPI 1538741053

Innovative Wound Healing & Dermatology is a Dermatology Physician in Bonney Lake, Washington. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

21137 Sr 410 E Ste I
Bonney Lake, WA 98391-8775
Phone: (800) 425-2805
Fax: (855) 673-1403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 Babcock Rd, San Antonio, TX 78201-3120 — (800) 494-7759

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1538741053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Levy — Provider · (800) 425-2805
NPI enumeratedApril 23, 2021
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775

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