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Individual

RAYMOND ALOYSIUS WOOD JR.

Active
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Individual

RAYMOND ALOYSIUS WOOD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6315144653
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101012252
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060044344
RAILROAD MEDICARE
01
0655200075
BLUE CROSS BLUE SHIELD
MI
05
3352150
MI
05
34966400
WI
Enumeration date
06/17/2006
Last updated
06/21/2023
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