Provider Demographics
NPI:1215915715
Name:NAPGEZEK, MARVIN RUDOLPH (MD)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:RUDOLPH
Last Name:NAPGEZEK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1550 HIGHWAY 71 NE
Mailing Address - Street 2:WILLMAR REGIONAL TREATMENT CENTER
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-9599
Mailing Address - Country:US
Mailing Address - Phone:320-231-5100
Mailing Address - Fax:320-231-5329
Practice Address - Street 1:1550 HIGHWAY 71 NE
Practice Address - Street 2:WILLMAR REGIONAL TREATMENT CENTER
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-9599
Practice Address - Country:US
Practice Address - Phone:320-231-5100
Practice Address - Fax:320-231-5329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN20999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MND48840Medicare UPIN