Search › Missouri › 183500000X
Michael Wilczek
NPI 1598360844 · on the registry since 2020
Practice
- Address
- 1104 S 25th St
Bethany, MO 64424 - Phone
- (660) 425-8171
- Fax
- (660) 425-8161
- Organisation at this address
- Hy-Vee Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri