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MICHAEL J WOODBURY M.D.

Allergy and Immunology

Bartlett, Tennessee

Provider NPI: 1154313591

Provider Information:
 MICHAEL J WOODBURY M.D.


Practice Location:
3002 N GERMANTOWN RD  BARTLETT, TN 38133 US
Tel: 901-861-2234  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
TNFSJ499

Other Provider Identifiers:

IssuerNumberStateType
126719001AR05
RR MEDICARE070007680AR01
RR MEDICARE070011483TN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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