Sczepanski, Mark Lee

Sczepanski, Mark Lee is an individual health care provider with primary practice located at 3035 Demers Ave , Grand Forks ND 58201-4018. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Sczepanski, Mark Lee can be contacted via phone (701) 775-3151.

Contact Information

Primary practice address
3035 Demers Ave Grand Forks ND 58201-4018
Phone: (701) 775-3151
Fax: (701) 775-3153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8411 North Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 8411 North Dakota

Profile Details

NPI number 1295731040
LBN Legal business name Sczepanski, Mark Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295731040 NPPES
North Dakota MEDICAID 11209

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