Individual
GARY A. WOZNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 14300 BECK ROAD, PLYMOUTH, MI 48170
(734) 453-5600
(734) 354-5960
Mailing address
HENRY FORD HEALTH SYSTEM, 14300 BECK ROAD, PLYMOUTH, MI 48170
(734) 453-5600
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301044913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
157329710
—
MI
01
—
GW044913
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
03/24/2021
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