Individual
MAREK BUCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-082163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221009
UNISON
OH
01
—
000000510661
ANTHEM
OH
05
—
2375255
—
OH
01
—
363384
WELLCARE MEDICAID
OH
01
—
741857
BUCKEYE MEDICAID
OH
01
—
7681455
AETNA
OH
01
—
P00010260
MCR RR
—
01
—
P00385101
MEDICARE RAILROAD
OH
Enumeration date
07/09/2006
Last updated
12/18/2020
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