Individual
DR. KENNETH JEFFREY WOODSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-093946
OH
208600000X
Surgery Physician
Primary
4301088944
MI
208600000X
Surgery Physician
M2206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01940834
TX. DRIVER'S LICENSE
TX
05
—
2962398
—
OH
Enumeration date
06/05/2006
Last updated
08/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us