Organization
DR. R TWARDOWSKI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADOMYSL MARIAN TWARDOWSKI M.D. (CEO)
(701) 220-1970
Entity
Organization
Contact information
Practice address
1842 14TH ST S APT 4, FARGO, ND 58103-4842
(701) 220-1970
Mailing address
1842 14TH ST S APT 4, FARGO, ND 58103-4842
(701) 220-1970
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6950
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18001
—
ND
Enumeration date
11/19/2012
Last updated
11/26/2012
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