Provider Demographics
NPI:1821848854
Name:WOJNAR, JASON J
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:J
Last Name:WOJNAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 S AINGER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-8521
Mailing Address - Country:US
Mailing Address - Phone:517-290-4396
Mailing Address - Fax:
Practice Address - Street 1:1883 S AINGER RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-8521
Practice Address - Country:US
Practice Address - Phone:517-290-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider