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Individual

ADAM HENRYK MICHNIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AEMT

Contact information

Practice address
3000 MILL ST, WINTERVILLE, NC 28590-8903
(984) 664-6000
Mailing address
414 ESTATE RD, WILMINGTON, NC 28405-3386
(704) 430-0953

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
P547193
NC
156F00000X
Technician/Technologist
P547193
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
P547193
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3356908
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
NC
01
P547193
NORTH CAROLINA OFFICE OF EMERGENCY MEDICAL SERVICES
NC
Enumeration date
05/14/2026
Last updated
05/14/2026
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