Individual
DR. JOHN C WLEZNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36475 5 MILE RD, MEDICAL STAFF OFFICE, LIVONIA, MI 48154-1971
(734) 655-1420
(734) 655-1445
Mailing address
36475 5 MILE RD, MEDICAL STAFF OFFICE, LIVONIA, MI 48154-1971
(734) 655-1420
(734) 655-1445
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301057564
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4200396
—
MI
Enumeration date
07/25/2006
Last updated
07/08/2007
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