Individual
DR. ANDREW PENN WORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E MANSION ST STE 3E, MARSHALL, MI 49068-1559
(269) 781-4267
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 789-7181
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301505392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699160994
—
MI
Enumeration date
04/02/2015
Last updated
09/10/2021
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