Organization
HENRY P. SZELAG, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY PAUL SZELAG D.O. (PRESIDENT)
(989) 644-3329
Entity
Organization
Contact information
Practice address
3520 NORTH WOODRUFF ROAD, WEIDMAN, MI 48893
(989) 644-3329
(989) 644-3724
Mailing address
3520 NORTH WOODRUFF ROAD, PO BOX 36, WEIDMAN, MI 48893
(989) 644-3329
(989) 644-3724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N83080
MEDICARE GROUP
MI
Enumeration date
08/30/2007
Last updated
08/30/2007
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