NPI Code Details Logo

NPI 1639113749

NPI 1639113749 : TAMARACK ROBERT CZARNIK M.D. : MCVILLE, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639113749
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TAMARACK ROBERT CZARNIK M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2006
-----------------------------------------------------
    Last Update Date     |    02/08/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    108 NORTH MAIN STREET 
-----------------------------------------------------
    City                 |    MCVILLE
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58254-0307
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-322-4347
-----------------------------------------------------
    Fax                  |    701-322-2244
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 307 
-----------------------------------------------------
    City                 |    MCVILLE
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58254-0307
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-322-4347
-----------------------------------------------------
    Fax                  |    701-322-2244
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    5243A
-----------------------------------------------------
    License Number State |    WY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    7329
-----------------------------------------------------
    License Number State |    ND
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.