Doctor Name: | DR. DANIEL GEORGE WOJTUSIAK |
NPI Number: | 1013976166 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02002754A |
Business Practice Address: | Usahc-hanau Cmr 470 Box 4862 Apo, AE - 09165 |
Business Phone Number: | 01149500328 |
Business Fax Number: | 6668 |
Mailing Address: | Usahc-hanau, Cmr 470 Box 4862 APO |
State: | AE |
Postal Code: | 09165 |
Phone Number: | 01149500328 |
Fax Number: | 6668 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02002754A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |