Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 4301075739 | MI |
NPI | 1609907146 |
---|---|
Provider Name | Amy Renee Woznick |
First Address | Kalamazoo, MI 49007-5359 |
Second Address | Kalamazoo, MI 49007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 25/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1609907146 | (05) | MI |
5191649 | (05) | MI |
P00606308 | RAILROAD MEDICARE (01) | MI |