Individual
RICK WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(800) 767-4411
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
942-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42973400
—
WI
Enumeration date
09/15/2005
Last updated
03/22/2024
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