Individual
JUDSON BOOKER WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E 89TH AVE, SUITE 2C, MERRILLVILLE, IN 46410-7318
(219) 757-7566
(219) 757-7253
Mailing address
200 E 89TH AVE, SUITE 2C, MERRILLVILLE, IN 46410-7318
(219) 757-7566
(219) 757-7253
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01042172
IN
207X00000X
Orthopaedic Surgery Physician
ME86413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272498700
—
FL
01
—
P00293501
RR MEDICARE
FL
Enumeration date
05/30/2006
Last updated
02/11/2010
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