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Individual

JOANNA WIECKOWSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1560 E SHERMAN BLVD, STE 250, MUSKEGON, MI 49444-1854
(231) 672-6186
(231) 672-6181
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(800) 494-5797

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023799
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101028236
MI

Other

Enumeration date
05/02/2018
Last updated
09/27/2024
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