Jared Andersen Wojnicki D.O.

NPI 1023099256 - General Practice - 208D00000X

NPI Details
NPI 1023099256
Gender Male
Enumeration Date 11/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
527 GOTT RD
ENID OK, 73705-5103, US
Phone (580) 213-6536
Fax (580) 213-7959
Business Location
210 S KEYSTONE DR
ENID OK, 73703-5904, US
Phone (845) 926-1924
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number 20A8952
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According to our database, Dr. Jared Andersen Wojnicki D.O. NPI is 1023099256, taxonomy code is 208D00000X and license number is 20A8952, license state is located at California. Jared Andersen Wojnicki D.O. physically located at 527 Gott Rd, Enid OK, 73705-5103. NPI Number Jared Andersen Wojnicki D.O. has the Individual type.

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1023099256 NPI number is provided on an as is basis without warranty of any kind. 1023099256 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Andersen Wojnicki D.O. are for informational purposes only.