Individual
DERRICK L WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 W MAIN ST, SPARTA, WI 54656
(608) 269-1770
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54990
WI
Other
Enumeration date
10/14/2009
Last updated
10/26/2021
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