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Individual

DR. PHILIP NATHANIEL JURASINSKI

Active
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Individual

DR. PHILIP NATHANIEL JURASINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
179993-30
WI
163W00000X
Registered Nurse
2021033345
MO
207R00000X
Internal Medicine Physician
036.174274
IL
207R00000X
Internal Medicine Physician
2021021932
MO
207RI0200X
Infectious Disease Physician
Primary
036.174274
IL
208000000X
Pediatrics Physician
036.174274
IL
208000000X
Pediatrics Physician
2021021932
MO
2080P0208X
Pediatric Infectious Diseases Physician
036.174274
IL
363LP0200X
Pediatric Nurse Practitioner
2021040593
MO

Other

Enumeration date
08/05/2012
Last updated
05/09/2025
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