Individual
WAYNE CHARLES WOODARD
Active
Individual
WAYNE CHARLES WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35057607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012661
ANTHEM
OH
05
—
0717184
—
OH
01
—
200023034
RAILROAD MEDICARE
OH
01
—
P00432945
RAILROAD MEDICARE
OH
Enumeration date
07/15/2005
Last updated
11/12/2020
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