Individual
DR. MICHAEL K BEDNARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
120 N MEDICAL PKWY, BLDG 100, SUITE 102, WOODSTOCK, GA 30189-7062
(770) 926-4641
(770) 926-1692
Mailing address
1555 DOCTORS DR, STE. 106, LAGRANGE, GA 30240-4132
(706) 845-9370
(706) 845-9371
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1756326
—
LA
05
—
908119435A
—
GA
Enumeration date
10/24/2005
Last updated
03/13/2012
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