Healthcare Provider Details

I. General information

NPI: 1386864155
Provider Name (Legal Business Name): MALGORZATA EWA SKAZNIK-WIKIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE UNIVERSITY OF COLORADO HOSPITAL
AURORA CO
80045-2545
US

IV. Provider business mailing address

PO BOX 110429 UNIVERSITY PHYSICIANS INC.
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-0000
  • Fax:
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR. 0051988
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberDR.0051988
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: