Alfred J Wroblewski MD PC
Organization Active NPI Orthopaedic Surgery Physician · Petoskey, MI
NPI 1477564011 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1477564011
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ALFRED J WROBLEWSKI MD PC
- Practice address
- 630 W Mitchell St Ste 4
Petoskey, MI 49770-2214 - Phone
- (231) 348-4005
- Fax
- (833) 973-5899
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly Gaye Wroblewski
- Title
- Administrator
- Phone
- (231) 348-4005
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 6
-
Rae Ann Bontekoe, OTR CHT
-
Melinda Yvette Short, AGACNP-BC, BSN, RN
-
Stephanie Vaughn, MS, OTRL
-
Lauren Marie Walsh, O.T., CHT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000190 | MI | Part B Supplier - Clinic/Group Practice | 6709882384 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Ignance, MI; Saint Ignance, MI; Petoskey, MI; Charlevoix, MI |
| O20100930010904 | MI | DME Supplier - Physician - Orthopedic/Orthopedic Surgery |
6709882384 | Practice locations: Petoskey, MI |
National Provider Directory
- Tax ID family
- Alfred J Wroblewski MD PC
Locations
630 W Mitchell St
Ste 4
Petoskey, MI 49770
Phone (231) 348-4005
4048 Cedar Bluff Dr
Ste 4
Petoskey, MI 49770
Phone (231) 348-4005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 069568 | MI |
Addresses
Primary practice location
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Mailing address
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Phone (231) 348-4005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368454 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4081820 | Medicaid | MI |
Other names
- Bay Street Orthopedics and Hand Surgery
Other providers in Petoskey, MI
- Alcona Citizens for Health, Inc.
- Anthony Robert Alessi
- Lauren Elizabeth Alessi
- Chad Alexander
- Alfred J Wroblewski MD PC
- Alfred J Wroblewski MD PC
- Alfred J Wroblewski MD PC
- Align Chiropractic Company PLLC
- Allen D Damschroder MD PC
- Renee Marie Allen
All providers in Petoskey, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.