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NPI Code Detail

MEDICARE: DR. DARIUSZ WALDEMAR GAWRONSKI MD

MEDICARE: DR. DARIUSZ WALDEMAR GAWRONSKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD.203511LA
22084N0400XNeurology Physician11187NV
32084N0400XNeurology Physician50247MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235136003OTHERMNAMERICA'S PPO
26I303GAOTHERMNBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41052916OTHERMNPREFERRED ONE
5HP84390OTHERMNHEALTHPARTNERS
60500991OTHERMNMEDICA
7139870C029OTHERMNUCARE
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235136003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARIUSZ WALDEMAR GAWRONSKI MD
Provider Business Mailing Address
First Line : 10101 PARK ROWE AVE STE 200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1685
Country : US
Telephone Number : 225-769-2200
Fax Number : 225-768-2185
Provider Business Practice Location Address
First Line : 10101 PARK ROWE AVE STE 200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1685
Country : US
Telephone Number : 225-769-2200
Fax Number : 225-768-2185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/31/2018

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