Andrzej Petryk
Hematology & Oncology
1580 Beam Ave
Maplewood
, Minnesota 55109-1127
Andrzej Petryk
Hematology & Oncology
1580 Beam Ave
Maplewood
, Minnesota 55109-1127
(651) 779-7656
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Andrzej Petryk
- 1580 Beam Ave
- Maplewood, MN
- Zip : 55109-1127
- Fax : (651) 779-7656
- Phone : (651) 779-7978
Second Address
- Andrzej Petryk
- 1580 Beam Ave
- Maplewood, MN
- Zip : 55109-1127
- Fax : (651) 779-7656
- Phone : (651) 779-7978
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Is Andrzej Petryk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 43012 | MN |
National Provider Identifier
| NPI | 1023087715 |
|---|---|
| Provider Name | Andrzej Petryk |
| First Address | Maplewood, MN 55109-1127 |
| Second Address | Maplewood, MN 55109-1127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 13/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01025768 | PREFERRED ONE (01) | MN |
| 1161828 | AMERICA'S PPO (01) | MN |
| 151274 | UCARE MN (01) | MN |
| 275S6PE | BLUE CROSS BLUE SHIELD MN (01) | MN |
| 34051900 | (05) | WI |
| 3600229 | MEDICA (01) | MN |
| 403933500 | (05) | MN |
| H30197 | (02) | MN |
| HP31687 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.