Waldemar Mysiak Md Sc

NPI 1508163031 - Family Medicine - 207Q00000X

NPI Details
NPI 1508163031
Enumeration Date 02/18/2011
Last Updated 02/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WALDEMAR WALDEMAR
Position PRESIDENT
Phone (847) 281-1100
Fax (847) 281-1300
Practice Location
755 S MILWAUKEE AVE STE 261
LIBERTYVILLE IL, 60048-3266, US
Phone (847) 281-1100
Fax (847) 281-1300
Business Location
755 S MILWAUKEE AVE STE 261
LIBERTYVILLE IL, 60048-3266, US
Phone (847) 281-1100
Fax (847) 281-1300
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1508163031 NPI Number
 

According to our database, Waldemar Mysiak Md Sc NPI is 1508163031, taxonomy code is 207Q00000X Waldemar Mysiak Md Sc physically located at 755 S Milwaukee Ave Ste 261, Libertyville IL, 60048-3266. NPI Number 1033115704 has the healthcare provider type.

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1508163031 NPI number is provided on an as is basis without warranty of any kind. 1508163031 is maintained by the National Plan & Provider Enumeration System. The contents of Waldemar Mysiak Md Sc are for informational purposes only.