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NPI Code Detail

MEDICARE: WENDE J. WOOD M.D.

MEDICARE: WENDE J. WOOD 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
1207R00000XInternal Medicine PhysicianMD00026497WA

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 : 1851442305
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDE J. WOOD M.D.
Provider Business Mailing Address
First Line : PO BOX 34581
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1581
Country : US
Telephone Number : 509-241-7349
Fax Number : 509-241-7628
Provider Business Practice Location Address
First Line : 1420 5TH AVE STE 375
Second Line :
City : SEATTLE
State : WA
Zip : 98101-4032
Country : US
Telephone Number : 206-223-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 06/02/2009

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Directions to “ WENDE J. WOOD M.D.” Practice Location

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