Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN WIACEK
Active Sole ProprietorGWEN WIACEK is a Foster Care Agency healthcare provider located in POSEN, Michigan. NPI 1245775402 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · POSEN, MI
Registration Details
- NPI Number
- 1245775402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2016 (9.6554124879159 yrs)
- Last Updated
- Dec 27, 2016
- License
-
AF710290749 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10038 HAGENSVILLE RDPOSEN, MI, 497769407Browse MI providers · Browse ZIP 49776
- Phone
- 9897669956
- Primary Specialty
-
Foster Care Agency
253J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.