Individual
MICHAEL A WIENCEK
Active
Individual
MICHAEL A WIENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN15583
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770520769
—
ID
05
—
1770520769
—
MT
05
—
1770520769
—
WA
Enumeration date
05/31/2006
Last updated
11/05/2015
Update your record
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