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Individual

DR. BRIAN EDMUND WALCZAK

Active
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Individual

DR. BRIAN EDMUND WALCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036163012
IL
207X00000X
Orthopaedic Surgery Physician
106196
MN
207X00000X
Orthopaedic Surgery Physician
5101017411
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036163012
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
518269
WI

Other

Enumeration date
06/28/2007
Last updated
12/06/2022
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