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

Wickenburg Diabetes & Wound Care Center LLC

Organization Internal Medicine Physician · NPI 1578361481

Wickenburg Diabetes & Wound Care Center LLC is an Internal Medicine Physician in Wickenburg, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

519 Rose Ln
Wickenburg, AZ 85390-1448
Phone: (844) 888-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1578361481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Stout — Manager · (337) 315-7927
NPI enumeratedMarch 5, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address519 Rose Ln, Wickenburg, AZ 85390-1448

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