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NPI Code Detail

MEDICARE: DR. JAMIE A. SZELAGOWSKI M.D.

MEDICARE: DR. JAMIE A. SZELAGOWSKI 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
1207Q00000XFamily Medicine Physician35097591OH

General Provider Information

NPI Number : 1821251562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE A. SZELAGOWSKI M.D.
Provider Business Mailing Address
First Line : 1007 W AUGLAIZE ST
Second Line : PO BOX 359
City : WAPAKONETA
State : OH
Zip : 45895-1351
Country : US
Telephone Number : 419-738-9601
Fax Number : 419-738-9749
Provider Business Practice Location Address
First Line : 1007 W AUGLAIZE ST
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-1351
Country : US
Telephone Number : 419-738-9601
Fax Number : 419-738-9749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 08/18/2011

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