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Individual

DAVID R CESKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
819 W MAPLE ST, RAWLINS, WY 82301-5462
(307) 324-3667
(307) 324-5591
Mailing address
819 W MAPLE ST, RAWLINS, WY 82301-5462
(307) 324-3667
(307) 324-5591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5910A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11270550
WY
Enumeration date
08/03/2005
Last updated
10/11/2012
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