Individual
JOHN J PIENIAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HWY 1, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0181
Mailing address
BOX 497, INDIAN HEALTH SERVICE, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
336-072015
IL
Other
Enumeration date
10/17/2006
Last updated
02/29/2008
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