SUSANNE WOODLAN M.D. LLC NPI 1104009562

NPI Information

  • NPI: 1104009562
  • Provider Name: SUSANNE WOODLAN, M.D., LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 18111 PRINCE PHILIP DR
    SUITE 111
    OLNEY, MD
    ZIP 20832
  • Phone: (301) 774-6500

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NPI Details

SUSANNE WOODLAN, M.D., LLC is a specialist in Olney, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUSANNE WOODLAN, M.D., LLC NPI is 1104009562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18111 PRINCE PHILIP DR
SUITE 111
OLNEY, MD
ZIP 20832-513
Phone: (301) 774-6500
Fax: (301) 774-5461

The provider's authorized official is Susanne T Woodlan .
The authorized official title is Physician and has the following contact phone number (301) 774-6500.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistD0050262MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G59601MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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