Individual
DR. VAN M WOELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 LONE OAK RD STE 150, PADUCAH, KY 42003-7940
(270) 538-6700
(270) 538-6755
Mailing address
1532 LONE OAK RD STE 150, PADUCAH, KY 42003-7940
(270) 538-6700
(270) 538-6755
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
87743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.92535
IL LICENSE
IL
05
—
64877434
—
KY
01
—
IL1391
PTAN
IL
Enumeration date
08/07/2006
Last updated
01/17/2019
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