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Individual

MAREK BUCZEK

Active
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Individual

MAREK BUCZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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