Provider Demographics
NPI:1154711281
Name:WOUND HEALING ON WHEELS, LLC
Entity type:Organization
Organization Name:WOUND HEALING ON WHEELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THEONA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-799-8773
Mailing Address - Street 1:2010 BRIDLE PATH
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-0703
Mailing Address - Country:US
Mailing Address - Phone:608-561-7657
Mailing Address - Fax:
Practice Address - Street 1:2010 BRIDLE PATH
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-0703
Practice Address - Country:US
Practice Address - Phone:608-561-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty