Czesnowski, Patrycja Izabella

Czesnowski, Patrycja Izabella is an individual health care provider with primary practice located at 24503 John R Rd , Hazel Park MI 48030-1141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Czesnowski, Patrycja Izabella can be contacted via phone (248) 629-6440.

Contact Information

Primary practice address
24503 John R Rd Hazel Park MI 48030-1141
Phone: (248) 629-6440
Fax: (248) 629-6445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301084438 Michigan

Profile Details

NPI number 1386831568
LBN Legal business name Czesnowski, Patrycja Izabella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Apr 3rd, 2020 - about 4 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 1386831568 NPPES
Michigan MEDICAID 1396839981
Michigan MEDICAID 1871645309
Michigan MEDICAID 1144371279

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