Individual
DR. JUSTIN WOODHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5915 LANDERBROOK DR, SUITE 120, MAYFIELD HEIGHTS, OH 44124-4039
(216) 382-3806
(216) 382-6735
Mailing address
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35084837
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35084837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154487932
GROUP NPI
OH
05
—
2583119
—
OH
01
—
9186052
MEDICARE GROUP LEGACY
OH
01
—
9186053
MEDICARE GROUP LEGACY
OH
01
—
9186059
MEDICARE GROUP LEGACY
OH
Enumeration date
10/16/2006
Last updated
06/17/2025
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