MEDICARE: ROBERT A SAVITSKI

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
1	385H00000X	Respite Care	1041020	MN

General Provider Information

NPI Number	:	1104120427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A SAVITSKI

Provider Business Mailing Address
First Line	:	217 OAK AVE SW
Second Line	:	NA
City	:	SAINT MICHAEL
State	:	MN
Zip	:	55376-9771
Country	:	US
Telephone Number	:	763-497-3043
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 OAK AVE SW
Second Line	:	NA
City	:	SAINT MICHAEL
State	:	MN
Zip	:	55376-9771
Country	:	US
Telephone Number	:	763-497-3043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	12/29/2010

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Directions to “ ROBERT A SAVITSKI ” Practice Location

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