Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 4301063421 | MI |
NPI | 1366432981 |
---|---|
Provider Name | Dr. Robert C Czarnecki |
First Address | Rochester, MI 48307 |
Second Address | Rochester, MI 48307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H29095 | (02) |