# DR. MICHAEL ROBERT MARKIEWICZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225291347
- **Gender:** Man
- **Credential:** D.D.S, M.P.H, M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 058934 | NY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 036138497 | IL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 058934 | NY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 286755 | NY | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 286755 | NY | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 286755 | NY | — |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 09/05/2023