MACIEY J DRUZDZEL MD PC
Ambulatory Health in Gold Beach, OR

License number
Oregon MD18563
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MACIEY J DRUZDZEL MD
Title: PRESIDENT
Phone: (541) 247-9499
Address
Address
29593 Ellensburg Ave., Gold Beach, OR 97444
National Provider ID: 1811242308
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MACIEY J. DRUZDZEL, M.D., PC

Gold Beach, OR

Registration:
Jul 16, 1999
Addresses:
29593 Ellensburg Ave, Gold Beach, OR 97444 (Physical)
PO Box 1650, Gold Beach, OR 97444 (Mailing)
State ID:
70096681
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
M.john Spicer,PO Box 645, Gold Beach, OR 97444 (Physical)

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