Individual
MICHAEL J. WILCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16909 Q ST, OMAHA, NE 68135-1521
(402) 955-7575
(402) 955-7555
Mailing address
8401 W DODGE RD, SUITE 280, OMAHA, NE 68114-3451
(402) 955-6877
(402) 955-6880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20184
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31391
BCBS
NE
05
—
47068937239
—
NE
01
—
5000
MIDLANDS CHOICE
NE
05
—
507509
—
IA
01
—
97572
BCBS
IA
Enumeration date
09/20/2006
Last updated
01/28/2013
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