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Individual

WAYNE RICHARD WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 577-4200
(317) 577-9203
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01067817A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200984890
IN
01
M400046207
MEDICARE
IN
Enumeration date
05/09/2008
Last updated
01/11/2023
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