Individual
MR. HENRY COYNE WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3232
(574) 523-3234
Mailing address
PO BOX 1308, GRANGER, IN 46530-1308
(574) 523-3232
(574) 523-3234
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01053430A
IN
208VP0000X
Pain Medicine Physician
Primary
01053430A
IN
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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