Individual
DR. MAREK M PIENKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
7417 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37919-5606
(865) 584-4112
(865) 588-5140
Mailing address
7417 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37919-5606
(865) 584-4112
(865) 588-5140
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD15320
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030601
BCBSTN
TN
01
—
0056936
BCBSTN
TN
01
—
0166234
BCBSTN
TN
01
—
0202905
BCBSTN
TN
01
—
059803
BCBSVA
VA
01
—
064686
BCBSVA
VA
01
—
067080
BCBSVA
VA
01
—
2004413
BCBSTN
TN
05
—
3006450
—
TN
05
—
3006456
—
TN
05
—
3006457
—
TN
05
—
3006458
—
TN
05
—
30065459
—
TN
Enumeration date
03/14/2006
Last updated
11/12/2013
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