NPI 1770451254
Clinic 5c Wound Care
Practice location
- Address
- 1875 N Lakewood Dr Fl 3, Coeur D Alene, ID 83814-4928
- Phone
- (509) 343-0250
Authorised official
- Name
- Cameron Chesnut
- Title
- Owner
- Phone
- (509) 343-0250
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1770451254
- Entity type
- Organization
- NPI issued
- 27 Oct 2025
- Record last updated
- 27 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.