Individual
RAYMOND ALOYSIUS WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3166
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3166
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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