Individual
MR. RONALD JAY WOODALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN NPP
Contact information
Practice address
38770 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-6620
(586) 421-4204
(586) 421-4222
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704201855
MI
Other
Enumeration date
04/12/2012
Last updated
01/17/2017
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