Phillip a Wienczewski Pllc

NPI #1790963312 in Tawas City, Michigan

Provider Information

NPI Number: 1790963312
Entity Type: Organization
Organization Name: Phillip a Wienczewski Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 671 E M 55
City: Tawas City
State: Michigan
ZIP Code: 48763
Phone: (989) 984-0560

Authorized Official

Name: DR. PHILLIP ALLEN WIENCZEWSKI, DDS
Title: OWNER
Phone: (989) 984-0560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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