Organization
DEEP CREEK COLON AND RECTAL SURGERY, PC
Active
Organization
DEEP CREEK COLON AND RECTAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLAUS SCHMIDT (PRACTICE ADMINISTRATOR)
(301) 334-4340
Entity
Organization
Contact information
Practice address
880 MEMORIAL DR, OAKLAND, MD 21550-5114
(301) 334-1066
(877) 504-1066
Mailing address
880 MEMORIAL DR, OAKLAND, MD 21550-5114
(301) 334-4340
(877) 504-1066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0068477
MD
208C00000X
Colon & Rectal Surgery Physician
Primary
D0068477
MD
Other
Enumeration date
02/09/2018
Last updated
05/30/2019
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