Individual
SHAUN P WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01044321A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208030
—
IN
Enumeration date
07/19/2005
Last updated
01/11/2017
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