Provider Demographics
NPI:1477551885
Name:WOODS, ROBINGTON JO (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBINGTON
Middle Name:JO
Last Name:WOODS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:684 HARVEY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-4274
Mailing Address - Country:US
Mailing Address - Phone:231-773-7837
Mailing Address - Fax:231-773-7943
Practice Address - Street 1:684 HARVEY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-4274
Practice Address - Country:US
Practice Address - Phone:231-773-7837
Practice Address - Fax:231-773-7943
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIRW013395208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3355199Medicaid
MI3355199Medicaid