Individual
DR. ROMAN PROSNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 266-7856
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD463449
PA
207R00000X
Internal Medicine Physician
MT207398
PA
207RP1001X
Pulmonary Disease Physician
Primary
01085995A
IN
Other
Enumeration date
06/12/2014
Last updated
10/14/2022
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