# DR. THOMAS CZECZOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316329857
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 036148906 | IL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 61027 | MN | — |

## Other

- **Enumeration date:** 06/21/2015
- **Last updated:** 03/27/2023
