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1174508840
JEFFREY PAUL WIENCEK
MICHIGAN CITY, IN
NPI
1174508840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71000502A)
Enumeration Date
2005-12-14
Last Update Date
2023-09-28
Business Address
Mr. JEFFREY PAUL WIENCEK FNP
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360-7310
Phone number: 219-874-3313
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Mailing Address
Mr. JEFFREY PAUL WIENCEK FNP
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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