Individual
DR. LESZEK J JASZCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 4TH ST E, SUITE 201, WILLISTON, ND 58801-5350
(701) 577-6337
Mailing address
PO BOX 1148, WILLISTON, ND 58802-1148
(701) 577-6337
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7782
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10182
—
ND
Enumeration date
11/28/2006
Last updated
03/17/2009
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