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NPI 1932904489

NPI 1932904489 : ALFRED J WROBLEWSKI MD PC : PETOSKEY, MI

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General NPI Number Information
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    NPI Number           |    1932904489
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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     |    02/18/2025
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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 
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    City                 |    PETOSKEY
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    State                |    MI
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    Zip                  |    49770-2233
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    Country              |    US
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    Telephone            |    231-348-4005
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    Fax                  |    
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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    |    OWNER
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    Name                 |    DR. ALFRED JOSEPH WROBLEWSKI 
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    Credential           |    MD
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    Telephone            |    231-675-5155
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207XP3100X
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    Taxonomy Name        |    Pediatric Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207XX0801X
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    Taxonomy Name        |    Orthopaedic Trauma Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    
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