Individual
DR. ALEC JERRY RANIWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(216) 016-0153
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11021500A
IN
208600000X
Surgery Physician
4351046829
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046829
MI
Other
Enumeration date
06/12/2020
Last updated
07/30/2024
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