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Individual
KIRK D PRODZINSKI
Active
Individual
KIRK D PRODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04555
IA
207Q00000X
Family Medicine Physician
41285
WI
207Q00000X
Family Medicine Physician
42041
MN
207Q00000X
Family Medicine Physician
Primary
O-0600
ID
Other
Enumeration date
02/24/2006
Last updated
04/16/2024
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