SearchMinnesota101YP2500X

Jeremiah Wood

NPI 1285057612 · on the registry since 2014 · sole proprietor

Practice

Address
2708 119th Ave Nw
Minneapolis, MN 55433
Phone
(763) 862-7944
Fax
(763) 767-1077

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota