Individual
GRAZYNA GRACE CZERWONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2249
(920) 320-3529
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2249
(920) 320-3529
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39618
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050071232
MEDICARE RAILROAD
WI
05
—
32633600
—
WI
01
—
3908063950H8
BLUE CROSS BLUE SHIELD
WI
Enumeration date
08/15/2006
Last updated
05/28/2008
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