Individual
MARKIAN R IWASZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
(616) 949-4340
(616) 949-4341
Mailing address
1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
(616) 949-4340
(616) 949-4341
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01089840A
IN
208800000X
Urology Physician
Primary
4301095939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34OD160430
BCBSM
MI
Enumeration date
08/05/2006
Last updated
12/16/2025
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