Individual
DR. DAVID THOMAS SELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4259
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301085639
MI
2080P0210X
Pediatric Nephrology Physician
4301085639
MI
2080P0210X
Pediatric Nephrology Physician
Primary
82049
SC
390200000X
Student in an Organized Health Care Education/Training Program
4301085639
MI
Other
Enumeration date
03/19/2007
Last updated
05/29/2019
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