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Individual

ALICE B WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2920 MCINTYRE DR, SUITE 250, BLOOMINGTON, IN 47403-4221
(812) 332-9217
(812) 330-4474
Mailing address
2920 MCINTYRE DR, SUITE 250, BLOOMINGTON, IN 47403-4221
(812) 332-9217
(812) 330-4474

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01036491
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100345310A
IN
Enumeration date
10/27/2006
Last updated
12/28/2020
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