Individual
MARCIN WILHELM CZERNIAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, CARLSBAD, NM 88220-3553
(505) 887-4321
Mailing address
PO BOX 708850, SANDY, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2007-0734
NM
Other
Enumeration date
01/03/2008
Last updated
11/24/2009
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