Individual
DR. MALGORZATA A BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5334 MEADOW LANE COURT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-5454
(440) 934-8979
Mailing address
5334 MEADOW LANE COURT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 282-7411
(440) 282-7419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-084892
OH
207Q00000X
Family Medicine Physician
Primary
35.084892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345924
ANTHEM
OH
01
—
1003027
QUALCHOICE
OH
05
—
2502125
—
OH
01
—
341908694031
CARESOURCE
OH
01
—
7475629
AETNA
OH
Enumeration date
03/31/2006
Last updated
02/05/2010
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