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NPI Code Detail

MEDICARE: DAVID JOSEPH DURNIAK WOSKA MD

MEDICARE: DAVID JOSEPH DURNIAK WOSKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician01086994AIN
2207RC0000XCardiovascular Disease PhysicianM-2090GU
3207RC0000XCardiovascular Disease Physician84791GA
4207RC0000XCardiovascular Disease PhysicianMTL-2017-087GU

General Provider Information

NPI Number : 1518923630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JOSEPH DURNIAK WOSKA MD
Provider Business Mailing Address
First Line : 6920 POINTE INVERNESS WAY STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7934
Country : US
Telephone Number : 260-479-3514
Fax Number : 260-479-3520
Provider Business Practice Location Address
First Line : 1348 WALTON WAY STE 5100
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-5108
Country : US
Telephone Number : 706-724-8611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 08/20/2024

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