Individual
DR. MICHAEL CHARLES JEDRZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
118 MAIN ST #4, STURBRIDGE, MA 01566
(508) 347-4900
(508) 347-9339
Mailing address
118 MAIN ST #4, PO BOX 1163, STURBRIDGE, MA 01566
(508) 347-4900
(508) 347-9339
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002129
TUFTS
—
05
—
0311081
—
MA
01
—
55385
FALLON
—
01
—
GALAXY
862573
—
01
—
Y71060
BCBS
—
Enumeration date
08/04/2006
Last updated
01/02/2008
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