Individual
DR. MARC WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, DEPARTMENT OF VETERANS AFFAIRS (11), FORT WAYNE, IN 46805-5100
(260) 460-1311
(260) 421-1827
Mailing address
2121 LAKE AVE, DEPARTMENT OF VETERANS AFFAIRS (11), FORT WAYNE, IN 46805-5100
(260) 460-1311
(260) 421-1827
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H6716
TX
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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