Individual
MARY C WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39575 WEST TEN MILE ROAD, #205, NOVI, MI 48375-2949
(248) 477-4411
(248) 477-4413
Mailing address
2200 LONG LAKE SHORE DR, WEST BLOOMFIELD, MI 48323-1927
(248) 334-6594
(248) 977-3079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032978
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383550
—
MI
Enumeration date
08/17/2006
Last updated
12/12/2019
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