Eastman & Wozniak Md Pc

NPI 1043364680 - Pediatrics - 208000000X

NPI Details
NPI 1043364680
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAY W JAY
Position OWNER
Phone (248) 645-1740
Fax (248) 645-5304
Practice Location
2055 E 14 MILE RD
STE 120
BIRMINGHAM MI, 48009-7256, US
Phone (248) 645-1740
Fax (248) 645-5304
Business Location
2055 E 14 MILE RD
STE 120
BIRMINGHAM MI, 48009-7256, US
Phone (248) 645-1740
Fax (248) 645-5304
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number JE031896
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According to our database, Eastman & Wozniak Md Pc NPI is 1043364680, taxonomy code is 208000000X and license number is JE031896, license state is located at Michigan. Eastman & Wozniak Md Pc physically located at 2055 E 14 Mile Rd, Birmingham MI, 48009-7256. NPI Number 1033115704 has the healthcare provider type.

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1043364680 NPI number is provided on an as is basis without warranty of any kind. 1043364680 is maintained by the National Plan & Provider Enumeration System. The contents of Eastman & Wozniak Md Pc are for informational purposes only.