Individual
MR. ROBERT M WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3335
(320) 225-3345
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3335
(320) 225-3345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1286959
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60124KA
BC PROVIDER NUMBER
MN
01
—
HP52882
HEALTH PARTNERS PROVIDER
MN
01
—
P00269367
MEDICARE RAIL ROAD
MN
Enumeration date
08/23/2006
Last updated
07/09/2007
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