Individual
DR. NATHAN WAYNE WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 459-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A116222
CA
208600000X
Surgery Physician
Primary
A116222
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2010
Last updated
03/17/2017
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