Bogdan Pudzisz in Kenosha - Internal Medicine
Bogdan Pudzisz - NPI 1982625844
Bogdan Pudzisz is a Internal Medicine in Kenosha, Wisconsin. Bogdan Pudzisz practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bogdan Pudzisz is 1982625844. The last update date is 2021-12-01.
Bogdan Pudzisz's current location address is 10400 75th St, Kenosha, Wisconsin. You can contact this provider via phone number 2629487000. The mailing address for Bogdan Pudzisz is 10400 75th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bogdan Pudzisz |
|---|---|
| Address | 10400 75th St, Kenosha, Wisconsin |
| Phone Number | 2629487000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982625844 |
|---|---|
| Provider Enumeration Date | 2006-07-23 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 10400 75th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427884 |
| Phone Number | 2629487000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 41069-020 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Bogdan Pudzisz by the Centers for Medicare & Medicaid Services?
The Bogdan Pudzisz has been assigned the NPI (National Provider Identifier) 1982625844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bogdan Pudzisz's facilities are situated?
The facilities of Bogdan Pudzisz are physically located at the following address: 10400 75Th St, Kenosha, WI, 531427884.
What is Bogdan Pudzisz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bogdan Pudzisz is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982625844 to Bogdan Pudzisz?
The Centers for Medicare & Medicaid Services originally issued the 1982625844 to Bogdan Pudzisz on 2006-07-23.
As of what date were the details pertaining to Bogdan Pudzisz last refreshed?
The information related to the Bogdan Pudzisz, including its address, specialty, and other relevant details, was last updated on 2021-12-01.