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Individual

DR. CHARLES MICHAEL WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
102 N 6TH ST, ROCKPORT, IN 47635-1460
(812) 649-4266
(812) 649-4279
Mailing address
102 N 6TH ST, ROCKPORT, IN 47635-1460
(812) 649-4266
(812) 649-4279

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001549A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100224880A
IN
Enumeration date
09/21/2005
Last updated
02/13/2008
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