Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY R WOZNIAK, PHD
ActiveNeurodevelopmental Disabilities · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1760578215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.548803926229 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP4183 (MN)
Practice Information
- Address
-
2312 SOUT 6TH STREETSUITE F256 / 2B WMINNEAPOLIS, MN, 55454Browse MN providers · Browse ZIP 55454
- Phone
- 6122738700
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
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.