Individual
MARK LEE SCZEPANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 775-3151
(701) 775-3153
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 775-3151
(701) 775-3153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
8411
ND
207W00000X
Ophthalmology Physician
Primary
8411
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11209
—
ND
Enumeration date
06/27/2005
Last updated
06/23/2014
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