Provider Demographics
NPI:1003177015
Name:WOZNIAK, MICHELLE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARIE
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 W 26TH AVE STE 265C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5370
Mailing Address - Country:US
Mailing Address - Phone:206-449-1447
Mailing Address - Fax:720-634-0370
Practice Address - Street 1:2460 W 26TH AVE STE 265C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5370
Practice Address - Country:US
Practice Address - Phone:720-644-9144
Practice Address - Fax:720-634-0370
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor