Individual
BRIAN MATTHEW CZERWONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-1000
Mailing address
40 WOODLAND HILLS DR STE 7, SOUTHGATE, KY 41071-2947
(502) 619-9234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
470795
OH
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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