Provider Demographics
NPI:1861452286
Name:KLASSEN-FISCHER, MARY KAZANECKI (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KAZANECKI
Last Name:KLASSEN-FISCHER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10500 ROCKVILLE PIKE
Mailing Address - Street 2:#1604
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3359
Mailing Address - Country:US
Mailing Address - Phone:301-938-8780
Mailing Address - Fax:
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:INOVA FAIRFAX HOSPITAL PATHOLOGY DEPARTMENT
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-3441
Practice Address - Fax:703-776-2407
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2010-07-30
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Provider Licenses
StateLicense IDTaxonomies
PAMD05640L207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology