| Jordan Nicole Woodman, AUD | |
|
17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 | |
| (586) 263-7601 | |
| Not Available |
| Full Name | Jordan Nicole Woodman |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 17900 23 Mile Rd Ste 201, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457044562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1601001116 (Michigan) | Primary |
| Provider Name | Ascension St John Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Nicole Woodman, AUD 17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 Ph: (586) 263-7601 | Jordan Nicole Woodman, AUD 17900 23 Mile Rd Ste 201, Macomb, MI 48044-1161 Ph: (586) 263-7601 |
Sergei G Boikov, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 19991 Hall Rd, Ste 102, Macomb, MI 48044 Phone: 586-263-4401 Fax: 586-263-4402 | |
Dr. Noel Ivan Rendleman, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 19991 Hall Rd Ste 102, Macomb, MI 48044 Phone: 586-263-4401 Fax: 586-263-4402 | |
Samantha White, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 17900 23 Mile Rd Ste 201, Macomb, MI 48044 Phone: 586-263-7601 | |
Celeste Lozier, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 17900 23 Mile Rd Ste 205, Macomb, MI 48044 Phone: 586-286-6500 | |
Michelle Wyche, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 17900 23 Mile Rd Ste 203, Macomb, MI 48044 Phone: 586-263-7400 Fax: 586-263-0410 | |
Dr. Daniel Agrusa, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 49306 Flint Ct., Macomb, MI 48044 Phone: 586-524-1909 |