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NPI Code Detail

MEDICARE: DR. MICHAEL W CIESLINSKI M.D.

MEDICARE: DR. MICHAEL W CIESLINSKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2016-01283NC
2207P00000XEmergency Medicine Physician0101261661VA

General Provider Information

NPI Number : 1093135196
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL W CIESLINSKI M.D.
Provider Business Mailing Address
First Line : 212 WATERMANS DR
Second Line :
City : GASBURG
State : VA
Zip : 23857-2205
Country : US
Telephone Number : 804-754-6227
Fax Number :
Provider Business Practice Location Address
First Line : 200 MEDICAL PARK BLVD
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-9274
Country : US
Telephone Number : 804-765-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 01/08/2019

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