Provider Demographics
NPI:1154761609
Name:CHMIELEWSKI, ALBERT TOMASZ (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:TOMASZ
Last Name:CHMIELEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7301 E FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1632
Mailing Address - Country:US
Mailing Address - Phone:913-789-1940
Mailing Address - Fax:913-384-4093
Practice Address - Street 1:7301 E FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-1632
Practice Address - Country:US
Practice Address - Phone:913-789-1940
Practice Address - Fax:913-384-4093
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-42839207Q00000X
MO2021034754207Q00000X
KS04-39379207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine