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DR. JEANINE MARIE CZECH M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1356300370

Individual Registrant:
DR. JEANINE MARIE CZECH M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
559 VINCENT ST ATTN: 21 AMDS/SGPF - FLIGHT MEDICINE PETERSON AFB, CO 80914-1541 US
Tel: 719-556-5585  Fax: 866-867-7926

Contact information for business:
559 VINCENT ST ATTN: 21 AMDS/SGPF - FLIGHT MEDICINE PETERSON AFB, CO 80914-1541 US
Tel: 719-556-5585  Fax: 866-867-7926

Registration Information:
NPI: 1356300370
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN28915

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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