Individual
DR. ANNA MARIE CHWASTIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3651 LAKE CENTER DR., MOUNT DORA, FL 32757
(352) 385-9156
Mailing address
27650 SE HIGHWAY 42, UMATILLA, FL 32784
(410) 241-3320
(352) 669-6925
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 3582
PA
213ES0131X
Foot Surgery Podiatrist
SC-004063-L
PA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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