JAN RADZIK MD PC NPI 1295037968

NPI Information

JAN RADZIK, MD PC is a primary care clinic center in Mcminnville, OR. JAN RADZIK, MD PC NPI is 1295037968. The provider is registered as an organization entity type.
The provider Other Name Is Jan Radzik, Md.

The provider's business location address is:

349 SE BAKER ST
MCMINNVILLE, OR
ZIP 97128-039
Phone: (503) 472-9438
Fax: (503) 472-9439

The provider's authorized official is Jan None Radzik .
The authorized official title is President and has the following contact phone number (503) 472-9438.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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