Provider Demographics
NPI:1851503940
Name:VRANIAK, DAMIAN P (MD)
Entity Type:Individual
Prefix:
First Name:DAMIAN
Middle Name:P
Last Name:VRANIAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 NW COMPASS LN
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6942
Mailing Address - Country:US
Mailing Address - Phone:303-335-5627
Mailing Address - Fax:
Practice Address - Street 1:649 NW COMPASS LN
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6942
Practice Address - Country:US
Practice Address - Phone:303-335-5627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD150576207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine