Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Old Mission Wound Care Ohio LLC

Organization Specialist · NPI 1750121240

Old Mission Wound Care Ohio LLC is a Specialist in Traverse City, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1989 Kroupa Rd
Traverse City, MI 49686-9759
Phone: (231) 260-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1750121240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Mason — Owner · (231) 260-4622
NPI enumeratedMay 30, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 18, 2024
Mailing address225 Matlage Way Unit 31, Sugar Land, TX 77487-0807

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