Individual
ANDREJ ZAJAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, RADIATION ONCOLOGY DEPARTMENT, MUNSTER, IN 46321-2901
(219) 836-6390
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
(219) 836-0034
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01040122
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327210
—
IN
Enumeration date
11/14/2005
Last updated
06/04/2013
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