Individual
DR. RANDALL E WOESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
248-A HOSPITAL DR, UKIAH, CA 95482-4555
(707) 463-1659
(707) 463-2195
Mailing address
248-A HOSPITAL DR, UKIAH, CA 95482-4555
(707) 463-1659
(707) 463-2195
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G44111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G441110
—
CA
Enumeration date
09/22/2005
Last updated
03/28/2008
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