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Individual

DR. EDWARD N PRIKASZCZIKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
320 MCKENZIE AVE, STE 102, COUNCIL BLUFFS, IA 51503-1002
(712) 328-0297
(712) 328-2403
Mailing address
320 MCKENZIE AVE, STE 102, COUNCIL BLUFFS, IA 51503-1002
(712) 328-0297
(712) 328-2403

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
368
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004200
IA
Enumeration date
08/16/2005
Last updated
07/28/2011
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