Organization
STEFAN A KIEDROWSKI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN KIEDROWSKI M.D. (M.D./OWNER)
(850) 878-1044
Entity
Organization
Contact information
Practice address
1879 PROFESSIONAL PARK CIR, TALLAHASSEE, FL 32308-4506
(850) 878-1044
(850) 656-7504
Mailing address
1879 PROFESSIONAL PARK CIR, TALLAHASSEE, FL 32308-4506
(850) 878-1044
(850) 656-7504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066468500
—
FL
Enumeration date
11/15/2010
Last updated
11/15/2010
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