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Individual
LAURENCE P SKENDZEL
Active
Individual
LAURENCE P SKENDZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301056424
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
67151
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080045678
RAILROAD MEDICARE
MI
05
—
2946385
—
MI
Enumeration date
10/28/2005
Last updated
05/16/2017
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