MEDICARE: DR. TAMARACK ROBERT CZARNIK M.D.

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	207Q00000X	Family Medicine Physician	5243A	WY
2	207Q00000X	Family Medicine Physician	7329	ND

General Provider Information

NPI Number	:	1639113749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMARACK ROBERT CZARNIK M.D.

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

Provider Business Practice Location Address
First Line	:	108 NORTH MAIN STREET
Second Line	:
City	:	MCVILLE
State	:	ND
Zip	:	58254-0307
Country	:	US
Telephone Number	:	701-322-4347
Fax Number	:	701-322-2244

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/08/2026

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