Individual
PRZEMYSLAW MATEUSZ KAMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-6868
(608) 356-6787
Mailing address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-6868
(608) 356-6787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036130340
IL
207X00000X
Orthopaedic Surgery Physician
49765
MN
207X00000X
Orthopaedic Surgery Physician
72723-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000791353
ANTHEM BCBS
IN
01
—
036.120340
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS.
IL
05
—
1740309418
—
WI
05
—
201114620
—
IN
05
—
35273100
—
WI
05
—
542125000
—
MN
05
—
ENROLLED
—
IA
Enumeration date
03/27/2007
Last updated
06/11/2024
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