Provider Demographics
NPI:1992139703
Name:WOJDYLA, DEVYNN SUZANNE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DEVYNN
Middle Name:SUZANNE
Last Name:WOJDYLA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2760 UPPER RIDGE DR
Mailing Address - Street 2:APARTMENT 8
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4479
Mailing Address - Country:US
Mailing Address - Phone:586-855-3421
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:ATTN ORTHOPEDIC DEPARTMENT
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2021-02-25
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Provider Licenses
StateLicense IDTaxonomies
MI5601006716363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical