Individual
DR. DANIEL ADAM WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2502 E EMPIRE ST, BLOOMINGTON, IL 61704-3738
(309) 300-1031
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(309) 300-1031
(309) 717-0003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036167423
IL
Other
Enumeration date
06/01/2021
Last updated
08/27/2024
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