MEDICARE: DR. MAREK ROZYNEK MD

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
1	207L00000X	Anesthesiology Physician	2375871	NY
2	207L00000X	Anesthesiology Physician	036.120536	IL
3	207L00000X	Anesthesiology Physician	4301085311	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548243017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAREK ROZYNEK MD

Provider Business Mailing Address
First Line	:	PO BOX 235019
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36123-5019
Country	:	US
Telephone Number	:	334-279-1450
Fax Number	:	334-279-1660

Provider Business Practice Location Address
First Line	:	1234 NAPIER AVE
Second Line	:
City	:	ST JOSEPH
State	:	MI
Zip	:	49085
Country	:	US
Telephone Number	:	269-428-0118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	01/06/2022

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Directions to “ DR. MAREK ROZYNEK MD” Practice Location

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