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Individual

DR. MATTHEW BERNARD WOODS IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 N MAIN ST, OLIVET, MI 49076-9465
(269) 749-2131
Mailing address
202 N MAIN ST, PO BOX 454, OLIVET, MI 49076-9465
(269) 749-2131
(269) 749-3067

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080477
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104763894
MI
Enumeration date
09/14/2006
Last updated
03/08/2013
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