Joseph M Grzelak IV, MD
Family Medicine in Burlington, KY. Individual provider (NPI-1).
NPI number1669950671
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1669950671
- Entity type
- Individual (NPI-1)
- Name
- Joseph M Grzelak IV
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 54914 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6105 1st Financial DrBurlington, KY 41005-7892
Phone 859-586-8200 · Fax 859-586-8233
Mailing address
Po Box 635283Cincinnati, OH 45263-5283
Phone 859-586-8200 · Fax 859-586-8233
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All 8 Family Medicine Physician providers in Burlington · All 114 providers in Burlington
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