Organization
MD ANESTHESIA SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C DZIAMSKI MD (PRESIDENT)
(309) 762-9711
Entity
Organization
Contact information
Practice address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Mailing address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036095969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095969
—
IL
Enumeration date
01/11/2006
Last updated
07/08/2008
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