Basic Information
| Provider Information | |||||||||
| NPI: | 1649214297 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WOZNEY | ||||||||
| FirstName: | MARILYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 2ND AVE NW | ||||||||
| Address2: | |||||||||
| City: | PLAINVIEW | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559641221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5075296610 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20 2ND AVE NW | ||||||||
| Address2: | |||||||||
| City: | PLAINVIEW | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559641221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5075296610 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 9546 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.