Individual
MICHAEL J. WILCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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