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Individual

DR. BEVERLY TUCKER WOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29400
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000139
HUMANA
01
040006716
RAILROAD MEDICARE
05
1366494858
WI
05
31413100
WI
Enumeration date
05/16/2006
Last updated
08/08/2023
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