Male or Other

Jeffery A. Woo M.D.

Internal Medicine Physician in Grand Rapids, MI(View on Map)

Full Name

Jeffery Allen Woo M.D.

NPI Number

1003037417

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4301084065

Contact
Information

Purpose

Mailing
Location

Address

1900 WEALTHY ST SE
1900 WEALTHY ST SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49506-2969
49506-2969

Country

US
US

Telephone Number

(616) 459-3158
(616) 459-3158

Identifiers

Identifier

1003037417
JW1104117952

Identifier State

MI
MI

Identifier Issuer

Unknown
BCBC MI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/21/2016

Provider Address

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