Czerwonka, Grazyna Grace

Czerwonka, Grazyna Grace is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Czerwonka, Grazyna Grace can be contacted via phone (920) 320-2249.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2249
Fax: (920) 320-3529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39618 Wisconsin

Profile Details

NPI number 1568575629
LBN Legal business name Czerwonka, Grazyna Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 28th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568575629 NPPES
Wisconsin MEDICAID 32633600
Wisconsin Other 3908063950H8
Wisconsin Other 050071232

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