Petryk, Andrzej

Petryk, Andrzej is an individual health care provider with primary practice located at 1580 Beam Ave , Maplewood MN 55109-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Petryk, Andrzej can be contacted via phone (651) 779-7978.

Contact Information

Primary practice address
1580 Beam Ave Maplewood MN 55109-1127
Phone: (651) 779-7978
Fax: (651) 779-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 43012 Minnesota

Profile Details

NPI number 1023087715
LBN Legal business name Petryk, Andrzej
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 13th, 2011 - about 14 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 1023087715 NPPES
Minnesota Other 275S6PE BLUE CROSS BLUE SHIELD MN
Minnesota MEDICAID 403933500 BLUE CROSS BLUE SHIELD MN
Minnesota Other 01025768 BLUE CROSS BLUE SHIELD MN
Minnesota MEDICAID 34051900 BLUE CROSS BLUE SHIELD MN
Minnesota Other 3600229 BLUE CROSS BLUE SHIELD MN
Minnesota Other 1161828 BLUE CROSS BLUE SHIELD MN
Minnesota Other 151274 BLUE CROSS BLUE SHIELD MN
Minnesota Other HP31687 BLUE CROSS BLUE SHIELD MN

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