Individual
IAN WORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
3995 PENBERTON DR, ANN ARBOR, MI 48105-3020
(916) 367-9117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.152132
OH
207L00000X
Anesthesiology Physician
Primary
4301504789
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088846
—
OH
Enumeration date
03/25/2017
Last updated
02/12/2025
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