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1881605590
MARK EDWARD BARADZIEJ
BOISE, ID
NPI
1881605590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: ID m6801)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. MARK EDWARD BARADZIEJ M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1136
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Mailing Address
Dr. MARK EDWARD BARADZIEJ M.D.
1735 ROANOKE DR
BOISE, ID 83712-7524
Phone number:
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