Provider / Organization | NPI | Date Certified |
---|---|---|
MARC M. SEDWITZ | 1275613093 | 2024-11-08 |
Marc M Sedwitz [M] graduated in 1978 from Boston University School Of Medicine and primarily specializes in Vascular Surgery.
Marc M. Sedwitz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275613093. Registration indicates Marc M. Sedwitz is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery: Vascular Surgery, ) (Specialist Network, ) (Surgery Vascular Surgery, Allopathic & Osteopathic Physicians) (Surgery, ) (Allopathic & Osteopathic Physicians, Surgery) (Surgery: Vascular Surgery, ) (Specialist Network, ) (Surgery Vascular Surgery, Allopathic & Osteopathic Physicians) (Surgery, )
PECOS ID | 1951338144 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Marc M. Sedwitz M.D. |
Practice Office Address | 1001 WILLOW CREEK RD STE 1200 PRESCOTT, AZ US |
Practice Office Telephone | 9284582850 |
Practice Office Fax | 9284582848 |
Mailing Address | PO BOX 10880 PRESCOTT, AZ 863040880 US |
Business Telephone | 6024064786 |
Business Fax | 9166364358 |
Code | Practice | License No State |
---|---|---|
2086S0129X | Allopathic & Osteopathic Physicians Surgery Surgery: Vascular Surgery Specialist Network Surgery Vascular Surgery Allopathic & Osteopathic Physicians Surgery | G49895
CA |
2086S0129X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery: Vascular Surgery Specialist Network Surgery Vascular Surgery Allopathic & Osteopathic Physicians Surgery | 72446
AZ |
00G498950 | MEDICAID | CA |