Individual
AMANDA P WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
Mailing address
PO BOX 776974, CHICAGO, IL 60677-3245
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01088018A
IN
207Q00000X
Family Medicine Physician
4301505105
MI
207Q00000X
Family Medicine Physician
Primary
4351045541
MI
Other
Enumeration date
06/19/2019
Last updated
12/19/2023
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