Individual provider · Type 1 NPI

Jeffrey Paul Wiencek, FNP

Family Nurse Practitioner · Michigan City, IN

NPI number 1174508840 Active

Practice location

3723 Franklin St
Michigan City, IN 46360-7310

Fax (219) 878-2330

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71000502A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1174508840

Jeffrey Paul Wiencek, FNP's National Provider Identifier is 1174508840, issued on Dec 14, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Michigan City, IN. The record was last updated on Sep 28, 2023.