Individual
ANDRZEJ WARTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 EMERGENCY DR, WEST POINT, MS 39773-9357
(662) 494-1870
(662) 494-0002
Mailing address
850 EMERGENCY DR, WEST POINT, MS 39773-9357
(662) 494-1870
(662) 494-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13679
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114997
—
MS
Enumeration date
04/25/2006
Last updated
02/21/2011
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