Individual
DR. MICHAEL L WODKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30 INDUSTRIAL DR, MIDDLETOWN, NY 10941-1662
(845) 692-3338
(845) 692-5549
Mailing address
30 INDUSTRIAL DR, MIDDLETOWN, NY 10941-1662
(845) 692-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003161-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554738
—
NY
Enumeration date
01/19/2006
Last updated
11/05/2007
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