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Individual

DR. RICHARD J WOOLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
26751 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4532
(248) 552-0510
(248) 569-7741
Mailing address
2560 W BLOOMFIELD OAKS DR, ORCHARD LAKE, MI 48324-3085
(248) 366-8998

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
RW006163
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4866695-14
MI
01
95-0-F3-25700
BCBS PIN
MI
Enumeration date
07/31/2006
Last updated
04/07/2008
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