Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A129446 | CA |
NPI | 1023187358 |
---|---|
Provider Name | Curtis Jay Wozniak |
First Address | Tiburon, CA 94920-1432 |
Second Address | Travis Afb, CA 94535-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 28/01/2022 |