person
Mr. Jeffrey Paul Wiencek, FNP
Family Nurse Practitioner in Michigan City, Indiana
NPI 1174508840

Jeffrey Paul Wiencek is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jeffrey Paul Wiencek practices in Michigan City, IN and has the professional credentials of FNP. The NPI Number for Jeffrey Paul Wiencek is 1174508840 and holds a License No. 71000502A (Indiana).

The current practice location address for Jeffrey Paul Wiencek is 3723 Franklin St, Michigan City, IN and can be reached out via phone at 219-874-3313 and via fax at 219-878-2330.

Location: 3723 Franklin St, Michigan City, IN, 48278-1076
person
Provider Profile Details
NPI Number
1174508840
Provider Name
Jeffrey Paul Wiencek
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
3723 Franklin St, Michigan City, IN, 48278-1076
Phone Number
219-874-3313
Fax Number
219-878-2330
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71000502A 01 IN LICENSE IN
institution
Provider Business Practice Location Address Details
Address
3723 Franklin St
City
State
Zip
46360-7310
Phone Number
219-874-3313
Fax Number
219-878-2330
person
Provider Business Mailing Address Details
Address
3723 Franklin St
City
State
Zip
46360-7310
Phone Number
219-874-3313
Fax Number
219-878-2330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000502A (Indiana)
Definition
Definition to come...
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