Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA08520900 | NJ |
N | 111NI0900X | Internist | 25MA08520900 | NJ |
Y | 207RG0100X | Gastroenterologist | 16013 | ND |
N | 207RG0100X | Gastroenterologist | 25MA08520900 | NJ |
N | 207RG0100X | Gastroenterologist | 4301100644 | MI |
NPI | 1023295300 |
---|---|
Provider Name | Dr. Marcin Szember |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201-7245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 02/10/2020 |