Healthcare Provider Details

I. General information

NPI: 1891354155
Provider Name (Legal Business Name): ELIZA J WOYAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 VERN HOLMES DR
STEVENS POINT WI
54482-9791
US

IV. Provider business mailing address

512 S 28TH AVE
WAUSAU WI
54401-4147
US

V. Phone/Fax

Practice location:
  • Phone: 715-847-2021
  • Fax:
Mailing address:
  • Phone: 715-847-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1576-60
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: