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Dr. Stephan Kermit Woodman, MD
Diagnostic Radiology Physician in Grand Island, Nebraska
NPI 1285662825

Stephan Kermit Woodman is a Diagnostic Radiology Physician based in Grand Island, NE and is specialized in Diagnostic Radiology. Stephan Kermit Woodman practices in Grand Island, NE and has the professional credentials of MD. The NPI Number for Stephan Kermit Woodman is 1285662825 and holds a License No. 12780 (Nebraska).

The current practice location address for Stephan Kermit Woodman is 2620 W Faidley Ave, Grand Island, NE and can be reached out via phone at 308-382-6856 and via fax at 308-381-1560. You can also correspond with Stephan Kermit Woodman through the mailing address at 2808 OLD FAIR RD, GRAND ISLAND, NE - 68803-5220 (mailing address contact number: 308-382-6856).

Location: 2620 W Faidley Ave, Grand Island, NE, 68803-5220
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Provider Profile Details
NPI Number
1285662825
Provider Name
Stephan Kermit Woodman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2620 W Faidley Ave, Grand Island, NE, 68803-5220
Phone Number
308-382-6856
Fax Number
308-381-1560
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00422 01 NE BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2620 W Faidley Ave
City
State
Zip
68803-4205
Phone Number
308-382-6856
Fax Number
308-381-1560
person
Provider Business Mailing Address Details
Address
2620 W Faidley Ave
City
State
Zip
68803-4205
Phone Number
308-382-6856
Fax Number
308-381-1560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
12780 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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