Individual
EDWIN WUDYKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44004 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5031
(248) 952-9944
(248) 952-9947
Mailing address
44004 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5031
(248) 952-9944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356887913
NPI
—
Enumeration date
01/06/2017
Last updated
06/17/2020
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