Jack S. Bartoszek D.O.

NPI 1093714818 - Family Medicine - 207QG0300X

NPI Details
NPI 1093714818
Gender Male
Enumeration Date 07/14/2005
Last Updated 09/20/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
615 FULMER RD
MISHAWAKA IN, 46544-6911, US
Phone (574) 252-3085
Fax (574) 252-5906
Business Location
4455 EDISON LAKES PKWY
UNITY MEDICAL SURGICAL HOSPITAL
MISHAWAKA IN, 46545-1442, US
Phone (574) 252-3085
Fax (574) 252-5906
Toxanomy
Taxonomy Code 207QG0300X
License State Indiana
License Number 02001105
Remove 1093714818 NPI Number
 

According to our database, Dr. Jack S. Bartoszek D.O. NPI is 1093714818, taxonomy code is 207QG0300X and license number is 02001105, license state is located at Indiana. Jack S. Bartoszek D.O. physically located at 615 Fulmer Rd, Mishawaka IN, 46544-6911. NPI Number Jack S. Bartoszek D.O. has the Individual type.

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1093714818 NPI number is provided on an as is basis without warranty of any kind. 1093714818 is maintained by the National Plan & Provider Enumeration System. The contents of Jack S. Bartoszek D.O. are for informational purposes only.