Organization
SHERI BACZKOWSKI M.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATJA I WINGO (BILLING)
(716) 631-8212
Entity
Organization
Contact information
Practice address
8270WEHRLE DRIVE, WILLIAMSVILLE, NY 14221-7325
(716) 631-8212
(716) 631-8710
Mailing address
8270 WEHRLE DR, WILLIAMSVILLE, NY 14221-7325
(716) 631-8212
(716) 631-8710
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
195456-1
NY
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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