Charles Przybylo
Technician, Other in East Grand Rapids, MI. Individual provider (NPI-1).
NPI number1336748359
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1336748359
- Entity type
- Individual (NPI-1)
- Name
- Charles Przybylo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2814 Woodcliff Cir SeEast Grand Rapids, MI 49506-3155
Phone 517-643-3098
Mailing address
2814 Woodcliff Cir SeEast Grand Rapids, MI 49506-3155
Is something wrong?
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Other Other Technician providers in East Grand Rapids, MI
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