Individual
KYLE P WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 FOX RIDGE CT, DE PERE, WI 54115-1907
(920) 242-0223
Mailing address
1515 FOX RIDGE CT, DE PERE, WI 54115-1907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301102954
MI
208600000X
Surgery Physician
Primary
70603
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085998
—
WI
Enumeration date
06/07/2012
Last updated
11/05/2025
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