Individual
RICHARD S BRATKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4713 BROOKVIEW DR, WEST DES MOINES, IA 50265-2997
(515) 225-6548
Mailing address
4713 BROOKVIEW DR, WEST DES MOINES, IA 50265-2997
(515) 225-6548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22221
IA
208D00000X
General Practice Physician
Primary
22221
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110095637
RAILROAD MEDICARE
IA
05
—
1209932
—
IA
05
—
2209932
—
IA
Enumeration date
11/14/2006
Last updated
03/20/2019
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