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General NPI Number Information
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NPI Number | 1821252289
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Entity Type | Organization
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Legal Business Name | ALFRED J WROBLEWSKI MD PC
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 630 W MITCHELL ST STE 4
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City | PETOSKEY
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State | MI
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Zip | 49770-2214
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Country | US
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Telephone | 231-348-4005
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Fax | 833-973-5899
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Provider Business Mailing Address
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Address Line | 630 W MITCHELL ST STE 4
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City | PETOSKEY
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State | MI
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Zip | 49770-2214
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Country | US
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Telephone | 231-348-4005
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Fax | 833-973-5899
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIMBERLY GAYE WROBLEWSKI
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Credential |
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Telephone | 231-348-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 069568
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License Number State | MI
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