# MAW MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael A. Woods
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013191139
- **Authorized official:** MS. JACKIE WOODS (PHYSICIAN BILLER)
- **Authorized official phone:** (219) 689-6637

## Contact information

- **Practice address:** 802 LAPORTE AVE, SUITE 102, VALPARAISO, IN 46383-5860
- **Practice address phone:** (219) 477-5242
- **Mailing address:** 709 PLAZA DR STE 2, SUITE 164, CHESTERTON, IN 46304-1573
- **Mailing address phone:** (219) 689-6637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01048590A | IN | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 08/15/2013