Individual
JAN K CZYZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
(612) 273-4370
Mailing address
601 ELMWOOD AVENUE, URMC BOX 626, ROCHESTER, NY 14642
(585) 275-3184
(585) 276-2047
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
039224
CT
207ZP0101X
Anatomic Pathology Physician
Primary
63410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001392240
—
CT
Enumeration date
11/22/2005
Last updated
04/24/2018
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