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Individual

DR. ANDRZEJ S. WASKIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825-1912
(260) 442-3502
(260) 442-3598
Mailing address
10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825-1912
(260) 442-3502
(260) 442-3598

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01073446A
IN
207L00000X
Anesthesiology Physician
Primary
036095958
IL
208VP0014X
Interventional Pain Medicine Physician
036095958
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036095958
IL
Enumeration date
06/17/2006
Last updated
07/11/2019
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