Organization
MIDMICHIGAN CARDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL ROHDE WOODRUFF M.D., PH.D. (OWNER)
(989) 832-0100
Entity
Organization
Contact information
Practice address
609 QUARTER ST, GLADWIN, MI 48624-1941
(989) 246-6461
(989) 246-9467
Mailing address
111 E WACKERLY ST, SUITE D, MIDLAND, MI 48642-7043
(989) 832-0100
(989) 923-1055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NW065098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3423708
—
MI
Enumeration date
10/23/2007
Last updated
10/23/2007
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