MEDICARE: DR. ALLISON WOOD, DO MPH, PLLC

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	207RG0100X	Gastroenterology Physician	5101018021	MI

General Provider Information

NPI Number	:	1053808550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ALLISON WOOD, DO MPH, PLLC

Provider Business Mailing Address
First Line	:	1515 LAKE LANSING RD STE O
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48912-3754
Country	:	US
Telephone Number	:	517-999-5300
Fax Number	:	517-999-5310

Provider Business Practice Location Address
First Line	:	1515 LAKE LANSING RD STE O
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48912-3754
Country	:	US
Telephone Number	:	517-999-5300
Fax Number	:	517-999-5310

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	DAIELLE REED
Credential	:
Telephone Number	:	517-999-5303

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	05/06/2026

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