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Individual
CHRISTOPHER WIENCZEWSKI
Active
Individual
CHRISTOPHER WIENCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4301095144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871723478
—
MI
01
—
4301095144
MEDICAL LICENSE
MI
Enumeration date
07/17/2009
Last updated
09/29/2021
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