Wozniak, Lance Thaddeus

Wozniak, Lance Thaddeus is an individual health care provider with primary practice located at 24255 W 13 Mile Rd Ste 100 , Bingham Farms MI 48025-4345. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wozniak, Lance Thaddeus can be contacted via phone (248) 988-8085.

Contact Information

Primary practice address
24255 W 13 Mile Rd Ste 100 Bingham Farms MI 48025-4345
Fax: (248) 988-8565
Website:

Health care specialties

Profile Details

NPI number 1164574935
LBN Legal business name Wozniak, Lance Thaddeus
Credentials P.T., D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164574935 NPPES
Michigan MEDICAID 1164574935

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