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Individual
DR. BRIAN PRZYSTAWSKI
Active
Individual
DR. BRIAN PRZYSTAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, PSC
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07000635
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051908
ANTHEM
IN
01
—
000000051908
ANTHEM
KY
01
—
000000051908
IN COMPREHENSIVE
—
05
—
1054641
—
KY
01
—
215680
MEDICARE GROUP
IN
01
—
2433700000
PASSPORT ADVANTAGE
—
01
—
480027403
RAILROAD MEDICARE
—
01
—
611327502
HUMANA
—
05
—
80001951
—
KY
01
—
9209
MEDICARE GROUP
KY
Enumeration date
12/13/2005
Last updated
10/15/2024
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