Doctor Name: | DR. MACIEJ TUMIEL |
NPI Number: | 1477514024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0066733 |
Business Practice Address: | 2101 Northside Dr Suite 603 Panama City, FL - 324053685 |
Business Phone Number: | 8507848007 |
Business Fax Number: | 8507841090 |
Mailing Address: | Po Box 527, PANAMA CITY |
State: | FL |
Postal Code: | 324020527 |
Phone Number: | 8507848007 |
Fax Number: | 8507841090 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0066733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |