Male or Other

John J. Pieniazek M.D.

Family Medicine Physician in Red Lake, MN(View on Map)

Full Name

John J Pieniazek M.D.

NPI Number

1740360163

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/17/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Illinois

License Number

336-072015

Contact
Information

Purpose

Mailing
Location

Address

BOX 497
HWY 1

City

Red Lake
Red Lake

State

MN
MN

Postal Code

56671
56671

Country

US
US

Telephone Number

(218) 679-3912
(218) 679-3912

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/29/2008

Provider Address

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