Individual
LAINE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24500 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2414
(248) 359-1008
(248) 353-6193
Mailing address
57435 SPAULDING CT, NEW HUDSON, MI 48165-9824
(248) 359-1008
(248) 353-6193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002760
MI
Other
Enumeration date
05/18/2006
Last updated
01/18/2008
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