Individual
MACIEJ KACPER TYSAROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0076655
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
DR.0076655
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2018
Last updated
07/01/2026
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