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Individual
MICHAEL ANDREW WOOD
Active
Individual
MICHAEL ANDREW WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40022238
RR MEDICARE
IL
Enumeration date
06/12/2006
Last updated
10/05/2011
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