Individual
DR. ARTHUR W MRUCZEK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ERIE STREET SOUTH, LAKE PLAINS EYE CENTER, MEDINA, NY 14103
(585) 798-2020
(585) 798-3365
Mailing address
500 ERIE STREET SOUTH, LPEC MEDICAL EYE CARE PLLC, MEDINA, NY 14103
(585) 798-2020
(585) 798-3365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
120403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010122705
UNIVERA
NY
05
—
00466862
—
NY
01
—
060905000047
FIDELIS
NY
01
—
100689CR
PREFERRED CARE
NY
01
—
P017812763
BLUE CHOICE
NY
01
—
P020120403
BLUE CHOICE
NY
Enumeration date
03/15/2006
Last updated
06/05/2008
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