Organization
DWIGHT W WOOD MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT W WOOD MD (OWNER)
(231) 845-7373
Entity
Organization
Contact information
Practice address
428 1ST ST, MANISTEE, MI 49660-1595
(231) 723-6037
Mailing address
7 N ATKINSON DR, SUITE 115, LUDINGTON, MI 49431-1953
(231) 845-7373
(231) 845-7374
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301071620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17971
PRIORITY HEALTH
MI
01
—
1805300251
BCBS
MI
05
—
3469260
—
MI
Enumeration date
03/01/2007
Last updated
11/02/2007
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