Individual
MICHAEL VINCENT WOODBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11618 US HWY 70-W, SUITE 200-A, CLAYTON, NC 27520
(919) 550-6133
(919) 550-1802
Mailing address
11618 US HWY 70-W, SUITE 200-A, CLAYTON, NC 27520
(919) 550-6133
(919) 550-1802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891207E
—
NC
Enumeration date
10/05/2006
Last updated
11/16/2007
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