Provider Demographics
NPI:1245342492
Name:KRASINSKI, WIESLAWA (MD)
Entity type:Individual
Prefix:DR
First Name:WIESLAWA
Middle Name:
Last Name:KRASINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 SUTTER ST
Mailing Address - Street 2:AMPLA HEALTH YUBA CITY MEDICAL
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3459
Mailing Address - Country:US
Mailing Address - Phone:530-673-9420
Mailing Address - Fax:530-673-9451
Practice Address - Street 1:1000 SUTTER ST
Practice Address - Street 2:AMPLA HEALTH YUBA CITY MEDICAL
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3459
Practice Address - Country:US
Practice Address - Phone:530-673-9420
Practice Address - Fax:530-673-9451
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA83048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH84412Medicare UPIN