MAD DOGS & ENGLISHMEN NPI 1770737546

NPI Information

MAD DOGS & ENGLISHMEN is a point of service in Wasilla, AK. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MAD DOGS & ENGLISHMEN NPI is 1770737546. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mad Dogs & Englishmen.

The provider's business location address is:

5900 W. LOCKSLEY LOOP
WASILLA, AK
ZIP 99654-837
Phone: (907) 357-7477
Fax: (907) 357-7477

The provider's authorized official is Daniel S Kilanowski .
The authorized official title is Owner and has the following contact phone number (907) 357-7477.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 12/2/2008.

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

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