Individual
BETH ANN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54516
MN
208000000X
Pediatrics Physician
5948
AK
2080P0202X
Pediatric Cardiology Physician
105628
MN
2080P0202X
Pediatric Cardiology Physician
Primary
62010
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD6921
—
AK
Enumeration date
03/24/2006
Last updated
10/12/2023
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