Organization
MICHAEL WOOLMAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WOOLMAN M.D. (OWNER/PROVIDER)
(801) 791-6543
Entity
Organization
Contact information
Practice address
2406 WOODLAND DR, OGDEN, UT 84403-5110
(801) 791-6543
Mailing address
PO BOX 908, BOUNTIFUL, UT 84011-0908
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
163657-1205
UT
163WH1000X
Hospice Registered Nurse
163657-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508833450
—
UT
Enumeration date
03/24/2017
Last updated
03/24/2017
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