Randall James Krystosek M.D.

NPI 1083612006 - Colon & Rectal Surgery - 208C00000X

NPI Details
NPI 1083612006
Gender Male
Enumeration Date 07/13/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
801 SAINT MARYS DR W
SUITE 300
EVANSVILLE IN, 47714-0512, US
Phone (812) 477-9241
Fax (812) 474-6708
Business Location
801 SAINT MARYS DR W
SUITE 300
EVANSVILLE IN, 47714-0512, US
Phone (812) 477-9241
Fax (812) 474-6708
Toxanomy
Taxonomy Code 208C00000X
License State Indiana
License Number 1028039A
Remove 1083612006 NPI Number
 

According to our database, Dr. Randall James Krystosek M.D. NPI is 1083612006, taxonomy code is 208C00000X and license number is 1028039A, license state is located at Indiana. Randall James Krystosek M.D. physically located at 801 Saint Marys Dr W, Evansville IN, 47714-0512. NPI Number Randall James Krystosek M.D. has the Individual type.

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1083612006 NPI number is provided on an as is basis without warranty of any kind. 1083612006 is maintained by the National Plan & Provider Enumeration System. The contents of Randall James Krystosek M.D. are for informational purposes only.