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Physician Compare National (NPI:1508909391)

HEALTHCARE PROVIDER: HOWARD WOOLLEY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1508909391
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6800938754
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100115000309
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WOOLLEY
Individual professional last name
Provider First Name HOWARD
Individual professional first name
Provider Middle Name ROBERT
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 1972
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3930 W 6TH ST
Group Practice or individual's line 1 address
City WINONA
Group Practice or individual's city
State MN
Group Practice or individual's state
Zip Code 559871530
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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