Individual
CHRISTOPHER WIENCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, PATHOLOGY SERVICES OF KALAMAZOO, KALAMAZOO, MI 49007-5341
(248) 918-9775
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4301095144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871723478
—
MI
01
—
4301095144
MEDICAL LICENSE
MI
Enumeration date
07/17/2009
Last updated
09/29/2021
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