Individual
DR. STEPHANIE M WOODFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
121 S GARFIELD AVE, STE A, TRAVERSE CITY, MI 49686-2967
(231) 943-2328
(231) 943-2327
Mailing address
121 S GARFIELD AVE, STE A, TRAVERSE CITY, MI 49686-2967
(231) 943-2328
(231) 943-2327
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A9002
CA
2084P0800X
Psychiatry Physician
Primary
5101019047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W6164K
MEDICARE GROUP
CA
Enumeration date
01/05/2007
Last updated
06/17/2016
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