Individual
MR. JONATHAN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
512 W 2ND AVE, FLINT, MI 48503-2516
(773) 344-7708
Mailing address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 893-6489
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501000547
MI
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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