# DR. MARIUSZ KAJETAN WRZOSEK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144274853
- **Gender:** Man
- **Credential:** D.M.D., M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019026949 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019026949 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 036138796 | IL | Yes |
| 208600000X | Surgery Physician | 251775 | MA | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/07/2023