Organization Name: | MICHAEL WILENSKY MD PA |
NPI Number: | 1518268432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL H WILENSKY (OWNER) |
Mailing Address: | 17971 Biscayne Blvd Suite 108 Aventura |
State: | FL US |
Postal Code: | 331602578 |
Phone Number: | 3059488825 |
Fax Number: | 3054667045 |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0033139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |