Provider Demographics
NPI:1750254488
Name:SAPIJASZKO, MARIUSZ (MD, FRCP, MMS)
Entity type:Individual
Prefix:PROF
First Name:MARIUSZ
Middle Name:
Last Name:SAPIJASZKO
Suffix:
Gender:M
Credentials:MD, FRCP, MMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11969 JASPER AVE NW
Mailing Address - Street 2:3102
Mailing Address - City:EDMONTON
Mailing Address - State:AB
Mailing Address - Zip Code:T5K0P1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950-10665 JASPER AVE NW
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:AB
Practice Address - Zip Code:T5J3S9
Practice Address - Country:CA
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72162207ND0101X, 207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology