Individual
JAMES DONALD WOODBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4210 CHIMO EAST ST, DEEPHAVEN, MN 55391-3502
(612) 599-6738
Mailing address
4210 CHIMO EAST ST, DEEPHAVEN, MN 55391-3502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29678
MN
Other
Enumeration date
09/09/2005
Last updated
01/01/2010
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