Individual
MR. RANDY WNUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
236 MILFORD ST, UPTON, MA 01568-1309
(508) 473-1015
Mailing address
10 N MAIN ST, CHARLTON, MA 01507-1590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
363AM0700X
Medical Physician Assistant
—
MA
Other
Enumeration date
03/20/2019
Last updated
11/04/2022
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