Most Relevant Information
Provider Data
| NPI Number: | 1003474214 |
| Provider Name: | KAREN SUZANNE WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 03368 |
Most Important Dates
| Enumeration Date: | 06/03/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
1630 COLUMBUS RD
GRANVILLE
OH
430231285
Practice Location Phone/Fax
| Phone: | 7403213396 |
| Fax: | 7403213381 |
Provider Mailing Location
1630 COLUMBUS RD
GRANVILLE
OH
430231285
Provider Mailing Phone/Fax
| Phone: | 7403213396 |
| Fax: | 7403213381 |