| Doctor Name: | DR. JARED ANDERSEN WOJNICKI |
| NPI Number: | 1023099256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A8952 |
| Business Practice Address: | 527 Gott Rd Enid, OK - 737055103 |
| Business Phone Number: | 5802136536 |
| Business Fax Number: | 5802137959 |
| Mailing Address: | 210 S Keystone Dr, ENID |
| State: | OK |
| Postal Code: | 737035904 |
| Phone Number: | 8459261924 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A8952 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |