Individual
MRS. DONNA A WICZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
4112 MCLAIN RD, CLYDE, MI 48049-3002
(810) 357-9387
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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