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NPI Code Detail

MEDICARE: DR. MAREK DURAKIEWICZ MD

MEDICARE: DR. MAREK DURAKIEWICZ 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
1207P00000XEmergency Medicine PhysicianMD0000031508TN
2207P00000XEmergency Medicine Physician31508TN

General Provider Information

NPI Number : 1124052105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAREK DURAKIEWICZ MD
Provider Business Mailing Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4271
Fax Number : 931-729-6793
Provider Business Practice Location Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4271
Fax Number : 931-729-6793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/09/2018

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Directions to “ DR. MAREK DURAKIEWICZ MD” Practice Location

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