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NPI 1700666708 · live from the CMS NPI Registry

Advanced Wound Care Of Caro PC

Internal Medicine in Caro, MI. National Provider Identifier 1700666708, active.

NPI record

NPI1700666708 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1800 W Caro Rd Ste 12, Caro, MI 48723
Practice phone989-625-8399
Mailing address1800 W Caro Rd, Caro, MI 48723
EnumeratedOctober 5, 2023
Last updatedApril 15, 2026
Authorized officialShane Stanley, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Acute Care363LA2100X—
Surgery208600000X—
Family Medicine207Q00000X—
Physician Assistant363A00000X—
Nurse Practitioner, Adult Health363LA2200X—
Nurse Practitioner, Family363LF0000X—
Nurse Practitioner363L00000X—
Nurse Practitioner, Gerontology363LG0600X—
Registered Nurse, Wound Care163WW0000X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.