Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301024901 | MI |
NPI | 1336244391 |
---|---|
Provider Name | Dr. David Henry Woodbury |
First Address | Ann Arbor, MI 48103-4507 |
Second Address | Ann Arbor, MI 48105-2335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |