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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