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Individual
MICHAEL T WOODALL
Active
Individual
MICHAEL T WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101281752
VA
208000000X
Pediatrics Physician
4301107864
MI
208M00000X
Hospitalist Physician
036155855
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
08/14/2024
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