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Dr. Judy Woodlief Warren
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Judy Woodlief Warren |
Gender: | F |
Provider License Number If Given: | 14776 |
NPI Information:
NPI: | 1518960517 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 225 S SUPERIOR ST Albion, MI 49224 |
Phone Number: | 5176296175 |
Fax Number: | 5176299197 |
Provider Business Practice Location Address:
Address: | 225 S SUPERIOR ST Albion, MI 49224 |
Phone Number: | 5176296175 |
Fax Number: | 5176299197 |
Provider Taxonomy:
Primary: | 1223G0001X |
Secondary (if any): | |
State: | MI |