Individual
JODIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37450 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3503
(586) 979-5100
Mailing address
3945 AVERY ST, DETROIT, MI 48208-2804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005638
MI
Other
Enumeration date
11/27/2009
Last updated
11/27/2009
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