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DR. JIMMIE DANIEL WOODALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1005 W GREEN ST, STE 301, HASTINGS, MI 49058-1712
(269) 945-8080
(269) 945-8081
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101019223
MI

Other

Enumeration date
06/23/2011
Last updated
02/23/2021
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