Individual
DR. MACIEJ SOLAREWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2549 MOMENTUM PL, CHICAGO, IL 60689-5325
(269) 216-9852
(269) 605-0018
Mailing address
3438 BROOKHOLLOW DR NE, ROCKFORD, MI 49341-9231
(616) 204-4364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F71000
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
4613055
—
MI
05
—
4666101
—
MI
05
—
4767810
—
MI
05
—
4812040
—
MA
Enumeration date
12/27/2005
Last updated
03/01/2021
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