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NPI Code Detail

MEDICARE: MARK DOUGLAS WOIWOOD MD

MEDICARE: MARK DOUGLAS WOIWOOD 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
1207L00000XAnesthesiology Physician25629IA

Other Identifiers

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

General Provider Information

NPI Number : 1598757734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK DOUGLAS WOIWOOD MD
Provider Business Mailing Address
First Line : 411 LAUREL ST
Second Line : SUITE 3170
City : DES MOINES
State : IA
Zip : 50314-3017
Country : US
Telephone Number : 515-283-0463
Fax Number : 515-283-0794
Provider Business Practice Location Address
First Line : 411 LAUREL ST
Second Line : SUITE 3170
City : DES MOINES
State : IA
Zip : 50314-3017
Country : US
Telephone Number : 515-283-0463
Fax Number : 515-283-0794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/19/2007

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Directions to “ MARK DOUGLAS WOIWOOD MD” Practice Location

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