Ciecierski, Rafal G

Ciecierski, Rafal G is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ciecierski, Rafal G can be contacted via phone (920) 735-7645.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Fax: (920) 735-7618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 53317 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036122585 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036122585 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 53317 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036122585 Illinois

Profile Details

NPI number 1093916595
LBN Legal business name Ciecierski, Rafal G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jun 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093916595 NPPES
Wisconsin MEDICAID 100005162

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