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Individual
DR. SARENA G GRACZYK
Active
Individual
DR. SARENA G GRACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15395
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
15395
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
15395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028873
RR MEDICARE
SC
01
—
153951
SELECT HEALTH
SC
05
—
153951
—
SC
01
—
2001122
CCP
SC
01
—
4137846
AETNA
SC
01
—
77837
MEDCOST
SC
Enumeration date
10/16/2006
Last updated
09/03/2013
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