Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 036-087875 | IL |
Y | 207RR0500X | Rheumatology | 33335 | WI |
NPI | 1093809832 |
---|---|
Provider Name | Peter Szachnowski |
First Address | Monroe, WI 53566-1569 |
Second Address | Monroe, WI 53566-1569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1007257 | PHYSICIANS PLUS (01) | |
10900 | DEAN HEALTH PLAN (01) | |
10900 | MEDICAID DEAN (01) | |
110087914 | MEDICARE RAILROAD (01) | |
32059600 | (05) | WI |
32059600 | HIRSP (01) | |
390808509 | CIGNA (01) | |
390808509 | CT GENERAL (01) | |
390808509 | WPS (01) | |
39080850944 | UNITY (01) | |
59127 | HEALTH ALLIANCE MEDICAL (01) | |
690004890 | MEDICARE RAILROAD (01) | |
90002361 | WEA INS (01) | |
90707944 | IL PUBLIC AID (01) | |
90707944 | TRICARE (01) | |
90707944006 | BC/BS (01) | |
90707944006 | BC/BS MEDICARE SUPPLEMENT (01) | |
90707944006 | COMPCARE (01) | |
E55798 | (02) |