Jordan Nicole Woodman, AUD | |
17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 | |
(586) 263-7601 | |
Not Available |
Full Name | Jordan Nicole Woodman |
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Gender | Female |
Speciality | Audiologist |
Location | 17900 23 Mile Rd Ste 201, Macomb, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457044562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1601001116 (Michigan) | Primary |
Provider Name | Ascension St John Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
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Jordan Nicole Woodman, AUD 17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 Ph: (586) 263-7601 | Jordan Nicole Woodman, AUD 17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 Ph: (586) 263-7601 |
Sergei G Boikov, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 19991 Hall Rd, Ste 102, Macomb, MI 48044 Phone: 586-263-4401 Fax: 586-263-4402 | |
Dr. Noel Ivan Rendleman, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 19991 Hall Rd Ste 102, Macomb, MI 48044 Phone: 586-263-4401 Fax: 586-263-4402 | |
Celeste Lozier, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 17900 23 Mile Rd Ste 205, Macomb, MI 48044 Phone: 586-286-6500 | |
Dr. Daniel Agrusa, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 49306 Flint Ct., Macomb, MI 48044 Phone: 586-524-1909 |