Individual
STEPHEN G WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 ACADEMY STREET, PRESQUE ISLE, ME 04769-3102
(207) 764-3917
(207) 764-2499
Mailing address
136 ACADEMY STREET, PRESQUE ISLE, ME 04769-3102
(207) 764-3917
(207) 764-2499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9830
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005228
ANTHEM BC BS
ME
05
—
114790000
—
ME
Enumeration date
06/27/2006
Last updated
11/20/2009
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