Midwest Dermatology Centre LLC

NPI #1043409303 in Granville, Ohio

Provider Information

NPI Number
1043409303
Entity Type
Organization
Organization Name
Midwest Dermatology Centre LLC
Primary Specialty
Dermatology
Enumeration Date
Oct 23, 2007
Last Updated
Oct 23, 2007

Practice Location

Address
1959 NEWARK GRANVILLE RD
State
Ohio
ZIP Code
43023-9171
Phone
(740) 587-0778

Authorized Official

Name
DR. MELINDA J WOOFTER, M.D.
Title
PHYSICIAN/OWNER
Phone
(740) 587-0778

Specialties & Taxonomy Codes

Specialty
Dermatology

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