Individual
MARC A TRZECIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5512
(209) 572-3224
(209) 572-4528
Mailing address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5512
(209) 572-3224
(209) 572-4528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A12596
CA
207XS0106X
Orthopaedic Hand Surgery Physician
20A12596
CA
207XS0106X
Orthopaedic Hand Surgery Physician
5505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188461
—
OH
01
—
200168390
RAILROAD MEDICARE
OH
Enumeration date
08/10/2005
Last updated
03/19/2013
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