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Individual

STANISLAW P DAJCZAK

Active
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Individual

STANISLAW P DAJCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35085114
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000362612
ANTHEM
OH
01
04648
PHC
OH
01
17-98831
UHC
OH
05
2542001
OH
01
5598615
AETNA
01
P00192953
RRMC
OH
01
PO0192953
RRMC
OH
Enumeration date
08/30/2005
Last updated
04/30/2012
Update your record

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