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MICHEAL E CEIZYK PT

Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1508979972

Individual Registrant:
 MICHEAL E CEIZYK PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
118 W MAPLE AVE  BEAVER DAM, WI 53916-2104 US
Tel: 920-356-1000  Fax: 920-356-0719

Contact information for business:
118 W MAPLE AVE  BEAVER DAM, WI 53916-2104 US
Tel: 920-356-1000  Fax: 920-356-0719

Registration Information:
NPI: 1508979972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic
WI6203

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEAN HEALTH SYSTEMS61271WI01
40349200WI05
RAILROAD MEDICAREP00064733WI01
PHYSICIANS PLUS1034219WI01




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