OrganizationAdvanced Wound Care & Hyperbaric Physicians Of Traverse City, Plc(<Unavail>)Emergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1105 6th St, Traverse City, MI 49684-2349(231) 947-0673PECOS EnrollmentBased on the most recent information from CMS, provider Advanced Wound Care & Hyperbaric Physicians Of Traverse City, Plc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1013342112Provider TypeOrganizationFull NameAdvanced Wound Care & Hyperbaric Physicians Of Traverse City, PlcOther Name<Unavail>SubpartNoEnumeration Date9/8/2013Last Updated9/8/2013Contact InformationPractice LocationPractice Address1105 6th St, Traverse City, MI 49684-2349Phone(231) 947-0673Fax(801) 740-2847Mailing LocationMailing AddressPO Box 6327, Traverse City, MI 49696-6327Phone(231) 947-0673Fax(801) 740-2847Authorized OfficialNameKaehler, Yvonne E (Business Manager)Phone(231) 947-0673Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDE2766MDescriptionOtherIssuerMI STATE IDENTIFIERMichigan