Provider Demographics
NPI:1538492442
Name:DABROWIECKI, ALEXANDER MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MICHAEL
Last Name:DABROWIECKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:445 HARLOW RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1341
Mailing Address - Country:US
Mailing Address - Phone:541-302-7771
Mailing Address - Fax:
Practice Address - Street 1:1200 GATEWAY LOOP
Practice Address - Street 2:1200
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477
Practice Address - Country:US
Practice Address - Phone:541-933-0800
Practice Address - Fax:541-204-1997
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN729852085R0204X
ORMD2113302085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology