Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 52300 | TN |
NPI | 1164626594 |
---|---|
Provider Name | Dr. Michael Joseph Krzyzaniak |
First Address | Nashville, TN 37209-5043 |
Second Address | Nashville, TN 37212-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 16/11/2015 |