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NPI Code Detail

MEDICARE: JANET TODORCZUK MD

MEDICARE:   JANET  TODORCZUK  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
1207RG0100XGastroenterology PhysicianR2K13MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005012657OTHERMOMEDICARE LEGACY
2100017273OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
320651OTHERBLUE CROSS/BLUE SHIELD
4790731OTHERUHC
5685715OTHERHEALTHLINK
64118530OTHERAETNA
7136158OTHERGHP
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447266432
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET TODORCZUK MD
Provider Business Mailing Address
First Line : 11525 OLDE CABIN RD
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7146
Country : US
Telephone Number : 314-997-0554
Fax Number : 314-997-5086
Provider Business Practice Location Address
First Line : 11525 OLDE CABIN RD
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7146
Country : US
Telephone Number : 314-997-0554
Fax Number : 314-997-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/27/2014

Similar Medicare Providers

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1467566703 — LEONARD B WEINSTOCK MD
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1366557209 — MS. AMIE C CHANG P.A.
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1780228155 — OLDE CABIN ANESTHESIA
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Directions to “ JANET TODORCZUK MD” Practice Location

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