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Individual
RICHARD S BRATKIEWICZ
Active
Individual
RICHARD S BRATKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22221
IA
208D00000X
General Practice Physician
Primary
22221
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110095637
RAILROAD MEDICARE
IA
05
—
1209932
—
IA
05
—
2209932
—
IA
Enumeration date
11/14/2006
Last updated
03/20/2019
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