Dr. Jan Z Ciejka
Rheumatology
1900 Wealthy St Se Ste 200
Grand Rapids
, Michigan 49506-2969
Dr. Jan Z Ciejka
Rheumatology
1900 Wealthy St Se Ste 200
Grand Rapids
, Michigan 49506-2969
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Jan Z Ciejka
- 100 Michigan St Ne Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Dr. Jan Z Ciejka
- 1900 Wealthy St Se Ste 200
- Grand Rapids, MI
- Zip : 49506-2969
- Fax : (616) 267-7228
- Phone : (616) 267-7293
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 4301075501 | MI |
National Provider Identifier
| NPI | 1124015557 |
|---|---|
| Provider Name | Dr. Jan Z Ciejka |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49506-2969 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 14/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4321954 | (05) | MI |
| F80518 | (02) | MI |
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.