Robert a Bazylak, M.d.

NPI #1306382270 in Conneaut Lake, Pennsylvania

Provider Information

NPI Number: 1306382270
Entity Type: Organization
Organization Name: Robert a Bazylak, M.d.
Subpart: Yes (part of a larger organization)
Parent Organization: FRENCH CREEK INTERNAL MEDICINE
Primary Specialty: Family Medicine
Enumeration Date: Jan 16, 2017
Last Updated: Jan 16, 2017

Practice Location

Address: 12387 CONNEAUT LAKE RD
City: Conneaut Lake
State: Pennsylvania
ZIP Code: 16316-4203
Phone: (814) 382-0221

Authorized Official

Name: CHRISTIAN MILES
Title: VICE PRESIDENT, PHYSICIAN SERVICES
Phone: (814) 333-5267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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