Individual
DR. JOSHUA ANDREW WIENCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 W BADDOUR PKWY STE 101, LEBANON, TN 37087-2595
(615) 994-1288
Mailing address
1405 W BADDOUR PKWY STE 101, LEBANON, TN 37087-2595
(615) 994-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58189
TN
Other
Enumeration date
04/21/2017
Last updated
10/15/2024
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