Organization
BRIAN T PRZYSTAWSKI, DPM, PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN T PRZYSTAWSKI DPM (OWNER)
(502) 895-3840
Entity
Organization
Contact information
Practice address
4119 BROWNS LANE, BLD#2, LOUISVILLE, KY 40220
(502) 895-3840
(502) 897-3642
Mailing address
PO BOX 708, PROSPECT, KY 40059-0708
(502) 454-4187
(502) 454-4235
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50003493
—
KY
05
—
80900202
—
KY
Enumeration date
10/13/2006
Last updated
11/02/2022
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