Mad Dogs & Englishmen

NPI #1770737546 in Wasilla, Alaska

Provider Information

NPI Number: 1770737546
Entity Type: Organization
Organization Name: Mad Dogs & Englishmen
Primary Specialty: Point of Service
Enumeration Date: Nov 6, 2008
Last Updated: Dec 2, 2008

Practice Location

Address: 5900 W. LOCKSLEY LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-0837
Phone: (907) 357-7477

Authorized Official

Name: MR. DANIEL S KILANOWSKI, CARE COORDINATOR
Title: OWNER
Phone: (907) 357-7477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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