Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 4301069568 | MI |
NPI | 1265449532 |
---|---|
Provider Name | Dr. Alfred Joseph Wroblewski JR. |
First Address | Petoskey, MI 49770-8895 |
Second Address | Petoskey, MI 49770-8895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 05/10/2012 |