Organization
MIDWEST DERMATOLOGY CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA J WOOFTER M.D. (PHYSICIAN/OWNER)
(740) 587-0778
Entity
Organization
Contact information
Practice address
1959 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9171
(740) 587-0778
(740) 587-0601
Mailing address
1959 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9171
(740) 587-0778
(740) 587-0601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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