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Individual

JAKUB MIESZCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4501 CAMERON VALLEY PKWY, STE 200, CHARLOTTE, NC 28211-4297
(704) 512-3636
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-00261
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2009-00261
NC
208000000X
Pediatrics Physician
2009-00261
NC
2080P0205X
Pediatric Endocrinology Physician
Primary
2009-00261
NC

Other

Enumeration date
09/26/2007
Last updated
07/15/2024
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