Individual
MR. MICHAEL W CZAJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CARDIOLOGY, SAINT LOUIS, MO 63104-1003
(314) 577-5674
(314) 268-4141
Mailing address
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CARDIOLOGY, SAINT LOUIS, MO 63104-1003
(314) 577-5674
(314) 268-4141
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
144420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427508304
—
MO
Enumeration date
06/15/2006
Last updated
10/29/2020
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