Individual
DR. TOMEK JAN GODLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42929
KY
207L00000X
Anesthesiology Physician
4301083431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960010
—
IN
05
—
7100071800
—
KY
Enumeration date
05/29/2007
Last updated
03/23/2016
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