Individual
DR. PETER GEORGE DZIEWULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS FRCS(PLAST)
Contact information
Practice address
UTMB 301 UNIVERSITY BOULEVARD 6.146 JOHN SEALY ANNEX, GALVESTON, TX 77555-0001
(409) 772-0504
(409) 772-5611
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-6784
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
46373
TX
Other
Enumeration date
12/19/2018
Last updated
02/19/2019
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