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Organization

JAN RADZIK, MD PC

Active
Other names
Jan Radzik, MD
Organization subpart
No

Provider details

NPI number
Authorized official
JAN NONE RADZIK MD (PRESIDENT)
(503) 472-9438
Entity
Organization

Contact information

Practice address
349 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-9438
(503) 472-9439
Mailing address
349 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-9438
(503) 472-9439

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD17050
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029186
OR
Enumeration date
12/01/2010
Last updated
12/01/2010
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