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General NPI Number Information
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NPI Number | 1013980937
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Entity Type | Individual
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Provider Name | MICHAEL PAUL SZCZEPANSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 253-968-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 6315 NODDING NIGHT CT
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City | COLUMBIA
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State | MD
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Zip | 21044-6012
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Country | US
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Telephone | 253-686-2825
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23209
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 23209
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License Number State | NE
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