Organization
MICHAEL WILENSKY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H WILENSKY M.D. (OWNER)
(305) 948-8825
Entity
Organization
Contact information
Practice address
17971 BISCAYNE BLVD, SUITE 108, AVENTURA, FL 33160-2578
(305) 948-8825
(305) 466-7045
Mailing address
17971 BISCAYNE BLVD, SUITE 108, AVENTURA, FL 33160-2578
(305) 948-8825
(305) 466-7045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0033139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K6863
MEDICARE GROUP NUMBER
FL
Enumeration date
11/09/2010
Last updated
11/16/2010
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