Individual
MICHAEL JACOB WILCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(281) 724-3050
(512) 628-3314
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(281) 724-3050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
93626
GA
Other
Enumeration date
04/17/2018
Last updated
03/10/2023
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