Individual
JEFFREY R WOZNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2312 SOUT 6TH STREET, SUITE F256 / 2B W, MINNEAPOLIS, MN 55454
(612) 273-8700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC292, MINNEAPOLIS, MN 55455
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
LP4183
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022592
PREFERREDONE
MN
01
—
124385
UCARE
MN
01
—
169466
FAIRVIEW
MN
01
—
24G96WO
BLUE CROSS BLUE SHIELD
MN
01
—
61-89892
MEDICA - CHOICE
MN
01
—
90046
ARAZ
MN
01
—
HP29901
HEALTHPARTNERS
MN
Enumeration date
10/04/2006
Last updated
07/08/2007
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