| Phillip A Wienczewski Pllc | |
|
671 E M 55 Tawas City MI 48763 | |
| (989) 984-0560 | |
| (989) 984-0562 |
| Full Name | Phillip A Wienczewski Pllc |
|---|---|
| Speciality | Dentist |
| Location | 671 E M 55, Tawas City, Michigan |
| Authorized Official Name and Position | Phillip Allen Wienczewski (OWNER) |
| Authorized Official Contact | 9899840560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip A Wienczewski Pllc 671 E M 55 Tawas City MI 48763 Ph: (989) 984-0560 | Phillip A Wienczewski Pllc 671 E M 55 Tawas City MI 48763 Ph: (989) 984-0560 |
| NPI Number | 1790963312 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790963312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9807 (Michigan) | Primary |
John L Lesneski Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Lake St, Tawas City, MI 48763 Phone: 989-362-6159 Fax: 989-362-6798 |