# OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629254040
- **Authorized official:** DR. MICHAEL SZEWCZYK MD (PHYSICIAN)
- **Authorized official phone:** (573) 815-2369

## Contact information

- **Practice address:** 3165 MCKELVEY RD, SUITE 210, BRIDGETON, MO 63044-2550
- **Practice address phone:** (314) 996-8105
- **Practice address fax:** (314) 996-8134
- **Mailing address:** 1701 E BROADWAY, SUITE 204, COLUMBIA, MO 65201-8018
- **Mailing address phone:** (573) 815-2369
- **Mailing address fax:** (573) 815-2666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008