Individual
DR. ZYGMUNT ORZECHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102114
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-101199
IL
207RP1001X
Pulmonary Disease Physician
036-101199
IL
207RP1001X
Pulmonary Disease Physician
Primary
102114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102114
MEDICARE PTAN #
MO
Enumeration date
12/01/2005
Last updated
03/14/2017
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