Individual
MICHAEL JOHN MARCINCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2235 STAPLES MILL RD STE 104, RICHMOND, VA 23230-2942
(804) 355-9729
Mailing address
PO BOX 277771, ATLANTA, GA 30384-7771
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101230296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007B13225
—
VA
01
—
770003095
MEDICARE RAILROAD
—
Enumeration date
02/01/2006
Last updated
02/22/2023
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