Provider Demographics
NPI:1336244391
Name:WOODBURY, DAVID HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HENRY
Last Name:WOODBURY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1715 ARBORDALE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4507
Mailing Address - Country:US
Mailing Address - Phone:734-663-1222
Mailing Address - Fax:734-663-1222
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2335
Practice Address - Country:US
Practice Address - Phone:734-761-7886
Practice Address - Fax:734-761-5229
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301024901207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine