# RANDALL E WOESNER MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609069830
- **Authorized official:** DR. RANDALL E WOESNER MD (CORP PRESIDENT)
- **Authorized official phone:** (707) 463-1659

## Contact information

- **Practice address:** 248 HOSPITAL DR STE A, UKIAH, CA 95482-4555
- **Practice address phone:** (707) 463-1659
- **Practice address fax:** (707) 463-2195
- **Mailing address:** 248 HOSPITAL DR STE A, UKIAH, CA 95482-4555
- **Mailing address phone:** (707) 463-1659
- **Mailing address fax:** (707) 463-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G44111 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 11/27/2007