Individual
DR. STEPHEN BERNARD REZNICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 NORTH H STREET, ABERDEEN, WA 98520
(360) 537-6470
(360) 537-6475
Mailing address
PO BOX 1787, ABERDEEN, WA 98520
(231) 779-2565
(231) 775-0744
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
062640
MI
208800000X
Urology Physician
Primary
MC-0557
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297815510
—
MI
Enumeration date
05/11/2006
Last updated
08/27/2020
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