Organization
MAD DOGS & ENGLISHMEN
Active
Other names
Mad Dogs & Englishmen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S KILANOWSKI CARE COORDINATOR (OWNER)
(907) 357-7477
Entity
Organization
Contact information
Practice address
5900 W. LOCKSLEY LOOP, WASILLA, AK 99654-0837
(907) 357-7477
(907) 357-7477
Mailing address
7362 W PARKS HWY, BOX 204, WASILLA, AK 99654-9132
(907) 357-7477
(907) 357-7477
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
741871
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851518815
NPI
AK
Enumeration date
11/06/2008
Last updated
12/02/2008
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