Individual
JAMES C WOODIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 N SHELBY ST STE 1002, SALEM, IN 47167-2307
(812) 883-3885
(812) 883-5909
Mailing address
309 JACKSON ST, SALEM, IN 47167-1035
(812) 883-1373
(812) 883-5909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050035A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067743
ANTHEM BCBS
IN
01
—
080137535
RAILROAD MEDICARE
IN
05
—
200204640A
—
IN
Enumeration date
07/20/2006
Last updated
05/20/2016
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