Wolverine Sleep PLLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

WOLVERINE SLEEP PLLC

Practice address

411 E Russell Rd
Suite 1
Tecumseh, MI 49286-7502

Phone

(517) 424-8286

Fax

(517) 470-0296

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas R Gorczyca, RRT

Title

Owner

Phone

(517) 424-8286

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1174781918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 EAST RUSSELL ROAD",
            "address_2": "SUITE 1",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492867502",
            "telephone_number": "517-424-8286",
            "fax_number": "517-470-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E RUSSELL RD",
            "address_2": "SUITE 1",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492867502",
            "telephone_number": "517-424-8286",
            "fax_number": "517-470-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVERINE SLEEP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "GORCZYCA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-424-8286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "290D611710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayana Wiggins, FNP-C
• William J Doherty, DDS, PC
• Kassandra Kay Williams, PA-C
• Rachel Williamson
• Willow Pediatric Dentistry of Tecumseh
• Woodward Detroit CVS, L.L.C.
• Laura Wright
• Jennifer Yape, PT
• Mary Yarbrough, LPN
• Shumaila Younas, MD

• Sleep Disorder Diagnostic Clinic/Center in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Sleep Disorder Diagnostic Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.