Duperon Wound LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DUPERON WOUND LLC

Practice address

33875 Kiely Dr
Chesterfield, MI 48047-3604

Phone

(989) 996-3269

NPI assigned

Feb 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephanie Ann Abul, MDNPI 1205366572

Title

Owner, Wound Care Physician

Phone

(989) 996-3269

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ann Abul, MD

  • Dermatology Physician
  • Chesterfield, MI
  • NPI 1205366572
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1447905005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 WINTERWOOD LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038672",
            "telephone_number": "989-996-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33875 KIELY DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473604",
            "telephone_number": "989-996-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPERON WOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ABUL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, WOUND CARE PHYSICIAN",
        "authorized_official_telephone_number": "989-996-3269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Dukes
• Kaitlyn Dulemba
• Shuronda Duncan
• Alexis Marie Dunham
• Tracy Dunton, MA LPC
• Jay W Eastman, M.D.
• Carlina Edmonds
• Ladajia Edmonds
• Hannah Edwards
• Jenika Edwards

• Dermatology Physician in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.