Individual
ADAM R WOZNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
290 CLIFT CT, HOLLISTER, MO 65672-5947
(417) 336-4355
(417) 337-5141
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005014705
MO
207Q00000X
Family Medicine Physician
E4814
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163841003
—
AR
05
—
1730146507
—
MO
01
—
5N643
BCBS
AR
01
—
5N643
AR BCBS
—
Enumeration date
04/27/2006
Last updated
02/22/2022
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