Individual
ANGELA JOY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
11626
ND
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11626
ND
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
48803
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017925000
—
MN
Enumeration date
09/20/2006
Last updated
10/06/2021
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