Individual
DR. RICHARD JAMES SERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH, CPE
Contact information
Practice address
511 N TORCH BLVD, BLDG 300, CANNON AFB, NM 88103-5109
(575) 784-0287
Mailing address
1599 J ST BLDG 109, GRAND FORKS AFB, ND 58205-6332
(701) 747-5547
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
42767
WI
208D00000X
General Practice Physician
42767-021
WI
Other
Enumeration date
01/10/2006
Last updated
03/27/2018
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