Individual
DR. MICHAEL JOHN MAJERCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3387AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006117
—
WA
05
—
1012250
—
WA
05
—
1021416
—
WA
01
—
11912679
CAQH
OR
05
—
500671652
—
OR
Enumeration date
08/13/2008
Last updated
04/06/2021
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