Ansel L Woldt


Address: 511 Beryl Dr, Kent, OH 44240-4403
Phone: 3306738729

Ansel L Woldt (NPI# 1467542878, PAC ID# 4183756539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1467542878
PAC ID by PECOS 4183756539
Professional Enrollment ID I20100720000749
Full Name Ansel L Woldt
Address 511 Beryl Dr
Kent
OH 44240-4403
Phone Number 3306738729
Gender M
Medical School UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1968
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
511 Beryl Dr, Kent, OH 44240-4403 3306738729

Organization Information

Office Location

Street Address 511 BERYL DR
City KENT
State OH
Zip 44240-4403

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Competitor

Search similar physicians

City KENT
Zip Code 44240
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty KENT + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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