Wood, Michael A
Wood, Michael A is an individual health care provider with primary practice located at 3075 W Clark Rd Ste 100 , Ypsilanti MI 48197-1103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Wood, Michael A can be contacted via phone (734) 469-4775.Contact Information
Primary practice address
3075 W Clark Rd Ste 100
Ypsilanti MI 48197-1103
Phone: (734) 469-4775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301064190 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 4301064190 | Michigan |
Profile Details
| NPI number | 1801866363 |
|---|---|
| LBN Legal business name | Wood, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801866363 | NPPES |
| Michigan | Other | 110D16184053 | BCBSM |
| Michigan | MEDICAID | 3055479 | BCBSM |
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