JEFFREY R WOZNIAK PHD NPI 1760578215

NPI Information

Jeffrey R Wozniak, PHD is a neurodevelopmental disabilities pediatrics in Minneapolis, MN. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Jeffrey R Wozniak, PHD NPI is 1760578215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2312 SOUT 6TH STREET
SUITE F256 / 2B W
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-8700

The NPI 1760578215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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