Gregory Wieczorek, MA,CCC/A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3501003346 Issued in MI

Practice address

3725 S Saginaw St
Ste 107
Flint, MI 48507-4321

Phone

(810) 235-8750

Fax

(810) 235-9760

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013096601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DELZINGRO DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232833",
            "telephone_number": "810-658-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 S SAGINAW ST",
            "address_2": "STE 107",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074321",
            "telephone_number": "810-235-8750",
            "fax_number": "810-235-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "GREGORY",
        "credential": "MA,CCC/A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501003346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Tyrome Wicks, LLBSW
• Trina Wicks
• Katherine I. Widmark, PAC
• Julie Widzinski, FNP-BC
• Emily Wiechmann, RN
• Krista Ann Wiegele, RN
• Mary Wierzbicki
• Deborah Wiggins
• Noah N Wiggins, FNP-BC
• Ronnie Wiggins

• Audiologist-Hearing Aid Fitter in Flint, MI
• Providers in Flint, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.