Organization
RANDALL E WOESNER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL E WOESNER MD (CORP PRESIDENT)
(707) 463-1659
Entity
Organization
Contact information
Practice address
248 HOSPITAL DR STE A, UKIAH, CA 95482-4555
(707) 463-1659
(707) 463-2195
Mailing address
248 HOSPITAL DR STE A, UKIAH, CA 95482-4555
(707) 463-1659
(707) 463-2195
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G44111
CA
Other
Enumeration date
08/21/2007
Last updated
11/27/2007
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