Individual
MR. MICHAEL RAYMOND WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 106, ANCHORAGE, AK 99508-5222
(907) 550-6180
(907) 550-6190
Mailing address
3855 LUNAR DR, APT 3, ANCHORAGE, AK 99504-4544
(907) 978-7549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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