Individual
MEREDITH ANN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 450, ROCHESTER HILLS, MI 48307-1871
(248) 650-2400
(248) 650-4596
Mailing address
4567 BURNLEY DR, BLOOMFIELD HILLS, MI 48304-3718
(248) 650-2400
(248) 650-4596
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601003156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00323189
MEDICARE RAILROAD
MI
Enumeration date
06/15/2007
Last updated
02/20/2014
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