Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 23209 | NE |
N | 208D00000X | General Practice Physician | 23209 | NE |
NPI | 1013980937 |
---|---|
Provider Name | Dr. Michael Paul Szczepanski |
First Address | Columbia, MD 21044-6012 |
Second Address | Fort Belvoir, VA 22060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 08/08/2018 |