NPI | 1013191139 |
---|---|
Doing Business As | MICHAEL A. WOODS |
Entity Type | Organization |
Authorized Contact | JACKIE WOODS Physician Biller 219-689-6637 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01048590A) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2013-08-15 |