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NPI Code Detail

MEDICARE: DR. MARK S WOODS M.D.

MEDICARE: DR. MARK S WOODS M.D.
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
1207Q00000XFamily Medicine Physician24262IA
2207Q00000XFamily Medicine Physician036-072976IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10029840095OTHERILILLINOIS BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
327172OTHERIOWA HEALTH SOLUTIONS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
520814OTHERIAWELLMARK BC/BS
609822166OTHERILBC/BS ILLINOIS
719360OTHERMIDLANDS CHOICE
8IA0120OTHERJOHN DEERE HEALTH
9018405OTHERHEALTH ALLIANCE

General Provider Information

NPI Number : 1477507564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK S WOODS M.D.
Provider Business Mailing Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-243-2511
Fax Number : 563-243-0817
Provider Business Practice Location Address
First Line : 635 E LINCOLNWAY
Second Line :
City : MORRISON
State : IL
Zip : 61270-2963
Country : US
Telephone Number : 815-772-7491
Fax Number : 812-772-7891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 03/15/2013

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