Jimmie Daniel Woodall DO

NPI 1649566076 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1649566076
Gender Male
Enumeration Date 06/23/2011
Last Updated 05/16/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
1005 W GREEN ST
STE 301
HASTINGS MI, 49058-1712, US
Phone (269) 945-8080
Fax (269) 945-8081
Business Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 5101019223
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According to our database, Dr. Jimmie Daniel Woodall DO NPI is 1649566076, taxonomy code is 207V00000X and license number is 5101019223, license state is located at Michigan. Jimmie Daniel Woodall DO physically located at 1005 W Green St, Hastings MI, 49058-1712. NPI Number Jimmie Daniel Woodall DO has the Individual type.

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1649566076 NPI number is provided on an as is basis without warranty of any kind. 1649566076 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmie Daniel Woodall DO are for informational purposes only.