Healthcare Provider Details

I. General information

NPI: 1306586003
Provider Name (Legal Business Name): ALEXANDER DAVID WOODS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 N SHOOP AVE
WAUSEON OH
43567-1821
US

IV. Provider business mailing address

7301 SECOR RD
LAMBERTVILLE MI
48144-9737
US

V. Phone/Fax

Practice location:
  • Phone: 419-452-2031
  • Fax: 419-330-5286
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301517856
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35.156069
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: