| James Woodiel M D P C | |
|
1002 N Shelby St Ste 1002 Salem IN 47167-2307 | |
| (812) 883-3885 | |
| (360) 254-3719 |
| Full Name | James Woodiel M D P C |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 N Shelby St Ste 1002, Salem, Indiana |
| Authorized Official Name and Position | James C Woodiel (OWNER) |
| Authorized Official Contact | 8128833885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Woodiel M D P C 1002 N Shelby St Ste 1002 Salem IN 47167-2307 Ph: (812) 883-3885 | James Woodiel M D P C 1002 N Shelby St Ste 1002 Salem IN 47167-2307 Ph: (812) 883-3885 |
| NPI Number | 1760409437 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 8628193877 |
|---|---|
| Medicare Enrollment ID | O20100913000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760409437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01050035A (Indiana) | Primary |
| Provider Name | James C Woodiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720008683 PECOS PAC ID: 9931240934 Enrollment ID: I20100113000569 |
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