Individual
GREGORY S SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176-8470
(703) 724-1195
(703) 724-4495
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101238059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010171954
—
VA
05
—
010184134
—
VA
05
—
1649264185
—
VA
05
—
30015758330001
—
VA
01
—
P00242023
RR MEDICARE VA
VA
Enumeration date
09/09/2005
Last updated
03/19/2024
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