Provider Demographics
NPI:1851950034
Name:WOJCIK, EMILIE ANNE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILIE
Middle Name:ANNE
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:ANNE
Other - Last Name:ANNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:29984 TELEGRAPH RD STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1355
Mailing Address - Country:US
Mailing Address - Phone:248-940-2700
Mailing Address - Fax:
Practice Address - Street 1:29984 TELEGRAPH RD STE A
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1355
Practice Address - Country:US
Practice Address - Phone:248-940-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704311790363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner