Individual
DR. CARL WILLIAM WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5515 CEDAR BRANCH CIR, INDIANAPOLIS, IN 46268-3924
(765) 966-8509
Mailing address
5515 CEDAR BRANCH CIR, INDIANAPOLIS, IN 46268-3924
(765) 966-8509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001243A
IN
207X00000X
Orthopaedic Surgery Physician
34008547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0829107
—
OH
05
—
100257080
—
IN
01
—
200008984
RAILROAD MEDICARE
IN
Enumeration date
02/03/2006
Last updated
01/08/2016
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