Individual
DR. CHRISTIAAN NIKOLAJE MAMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 BAPTIST WAY STE 4A, PENSACOLA, FL 32503-2274
(448) 227-6480
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
02004231A
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
02004231A
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
OS18452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113496800
—
FL
01
—
O5607
MEDICARE
FL
Enumeration date
05/11/2007
Last updated
02/18/2026
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