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Individual

DR. ANDREW JOHN WODOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 701-2400
Mailing address
6077 PRIMACY PKWY, STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57286
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
57286
TN

Other

Enumeration date
05/14/2012
Last updated
01/20/2021
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