Individual
RICHARD LYLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CNP
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
642
MN
363L00000X
Nurse Practitioner
R 145566-7
MN
Other
Enumeration date
01/16/2006
Last updated
11/08/2024
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