Individual
DR. DONALD L REZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 337-5775
(814) 337-2841
Mailing address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 337-5775
(814) 337-2841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD036712E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011067750003
—
PA
05
—
134259
—
PA
01
—
205035
UPMC FOR YOU
PA
01
—
428690
BLUE SHIELD
PA
Enumeration date
08/02/2005
Last updated
08/09/2010
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