Individual
RANDOLPH EUGENE SZLABICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5000
Mailing address
P.O. BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11005
ND
208600000X
Surgery Physician
41191
WI
2086S0102X
Surgical Critical Care Physician
Primary
41191
WI
2086S0120X
Pediatric Surgery Physician
1105
ND
2086S0127X
Trauma Surgery Physician
11005
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32561500
—
WI
Enumeration date
09/26/2006
Last updated
09/24/2008
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