Provider Demographics
NPI:1417060427
Name:ZOLCIK, WOJCIECH (MD)
Entity Type:Individual
Prefix:DR
First Name:WOJCIECH
Middle Name:
Last Name:ZOLCIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3205
Mailing Address - Country:US
Mailing Address - Phone:720-470-1856
Mailing Address - Fax:307-460-7417
Practice Address - Street 1:2635 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3205
Practice Address - Country:US
Practice Address - Phone:720-470-1856
Practice Address - Fax:303-777-0366
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6219A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY115107000Medicare ID - Type Unspecified
G88398Medicare UPIN
W20037Medicare ID - Type Unspecified