Male or Other

Ian S. Wood MD

Student in an Organized Health Care Education/Training Program in Detroit, MI(View on Map)

Full Name

Ian Sebastian Wood MD

NPI Number

1053938043

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/25/2020

Specialties

(Taxonomies)

Licenses

State

Michigan

License Number

4351046793

Contact
Information

Purpose

Mailing
Location

Address

2799 W GRAND BLVD
2799 W GRAND BLVD

City

Detroit
Detroit

State

MI
MI

Postal Code

48202-2689
48202-2689

Country

US
US

Telephone Number

(313) 916-3056
(313) 916-3056

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

Data last updated by provider on 06/25/2020

Provider Address

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Detroit, MI

Specialty: Student in an Organized Health Care Education/Training Program (Primary)

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Detroit, MI

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