MEDICARE: JAMES PLATT WOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	23707020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548250343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES PLATT WOOD MD

Provider Business Mailing Address
First Line	:	19475 W NORTH AVE
Second Line	:	SUITE 201
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4199
Country	:	US
Telephone Number	:	262-395-4141
Fax Number	:	262-395-4159

Provider Business Practice Location Address
First Line	:	19475 W NORTH AVE
Second Line	:	SUITE 201
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4199
Country	:	US
Telephone Number	:	262-395-4141
Fax Number	:	262-395-4159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	01/14/2013

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