Individual
DR. KRISTIN E WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7640 SYLVANIA AVE, SUITE K, SYLVANIA, OH 43560-9729
(419) 517-1001
(419) 517-1021
Mailing address
7640 SYLVANIA AVE, SUITE K, SYLVANIA, OH 43560-9729
(419) 517-1001
(419) 517-1021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-5713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2420633
—
OH
05
—
4524124
—
MI
01
—
P00038728
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
06/21/2011
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