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1477129419
DANIEL ADAM WOOLDRIDGE
BLOOMINGTON, IL
NPI
1477129419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036167423)
Enumeration Date
2021-06-01
Last Update Date
2024-08-27
Business Address
Dr. DANIEL ADAM WOOLDRIDGE MD
2502 E EMPIRE ST
BLOOMINGTON, IL 61704-3738
Phone number: 309-300-1031
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Mailing Address
Dr. DANIEL ADAM WOOLDRIDGE MD
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 309-300-1031
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