Individual
MATTHEW DAVID SKANCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7000
Mailing address
1411 AMES PL NE, WASHINGTON, DC 20002-6415
(703) 819-6750
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D0081410
MD
Other
Enumeration date
04/24/2013
Last updated
09/17/2020
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