Organization
FAMILY MEDICINE IN COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRZEJ J WASIAK MD (PRESIDENT)
(618) 281-2233
Entity
Organization
Contact information
Practice address
123 WEDGEWOOD DR, COLUMBIA, IL 62236
(618) 281-2233
(618) 281-2244
Mailing address
123 WEDGEWOOD DR, COLUMBIA, IL 62236
(618) 281-2233
(618) 281-2244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
09/22/2006
Last updated
09/25/2007
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