Organization
ANDRZEJ MACIEJEWSKI MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRZEJ RYSZARD MACIEJEWSKI MD (OWNER)
(907) 222-1714
Entity
Organization
Contact information
Practice address
3260 PROVIDENCE DR STE 523, ANCHORAGE, AK 99508-4608
(907) 222-1714
(907) 222-1724
Mailing address
3260 PROVIDENCE DR, SUITE 526, ANCHORAGE, AK 99508-4661
(907) 222-1714
(907) 222-1724
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4655
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012171
—
AK
Enumeration date
06/12/2014
Last updated
10/09/2017
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