# ADAM R WOZNIAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730146507
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2005014705 | MO | Yes |
| 207Q00000X | Family Medicine Physician | E4814 | AR | — |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 02/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 163841003 | — | AR |
| 05 | — | 1730146507 | — | MO |
| 01 | — | 5N643 | BCBS | AR |
| 01 | — | 5N643 | AR BCBS | — |