Provider Demographics
NPI:1609845940
Name:SZYMANSKI, DENNIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:SZYMANSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6416 DEANS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERRIEN CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49102-9750
Mailing Address - Country:US
Mailing Address - Phone:269-471-7741
Mailing Address - Fax:269-471-1581
Practice Address - Street 1:3950 HOLLYWOOD RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9159
Practice Address - Country:US
Practice Address - Phone:269-556-1990
Practice Address - Fax:269-556-1996
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301030282207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2725820Medicaid
MIMI2051104Medicare PIN
A76263Medicare UPIN