MEDICARE: MRS. EMILIE ANNE WOJCIK NP-C

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
1	363L00000X	Nurse Practitioner	4704311790	MI

General Provider Information

NPI Number	:	1851950034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILIE ANNE WOJCIK NP-C

Provider Business Mailing Address
First Line	:	2256 ORCHARD LAKE RD
Second Line	:
City	:	SYLVAN LAKE
State	:	MI
Zip	:	48320-1750
Country	:	US
Telephone Number	:	248-416-1499
Fax Number	:	248-971-1132

Provider Business Practice Location Address
First Line	:	2256 ORCHARD LAKE RD
Second Line	:
City	:	SYLVAN LAKE
State	:	MI
Zip	:	48320-1750
Country	:	US
Telephone Number	:	248-416-1499
Fax Number	:	248-971-1132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	02/12/2026

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