| Dr Justin Woodruff, MD | |
|
6379 Silver Lake Rd, Linden, MI 48451-8706 | |
| (810) 735-7847 | |
| Not Available |
| Full Name | Dr Justin Woodruff |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6379 Silver Lake Rd, Linden, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487237913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301509752 (Michigan) | Primary |
| Entity Name | Genesys Pho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275820110 PECOS PAC ID: 7618240409 Enrollment ID: O20180419001744 |
| Entity Name | Ascension Medical Group Genesys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598248718 PECOS PAC ID: 7214288281 Enrollment ID: O20181002000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Woodruff, MD 3495 S Center Rd, Burton, MI 48519-1455 Ph: () - | Dr Justin Woodruff, MD 6379 Silver Lake Rd, Linden, MI 48451-8706 Ph: (810) 735-7847 |
Laura Hinman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6379 Silver Lake Rd, Linden, MI 48451 Phone: 810-735-7847 | |
Gary R King, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6379 Silver Lake Rd, Linden, MI 48451 Phone: 810-735-7847 Fax: 810-735-7840 | |
William Edgar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6379 Silver Lake Rd, Linden, MI 48451 Phone: 810-735-7847 Fax: 810-735-7159 |