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Dr. Michael Alexander Zielinski

Dentist in Rockford, IL. Individual provider (NPI-1).

NPI number1508024142
StatusActive
Last updated in NPPESMay 30, 2008

Details

NPI
1508024142
Entity type
Individual (NPI-1)
Name
Dr. Michael Alexander Zielinski
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2008
Last updated
May 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019027623ILYes

Practice location

6215 E State St
Rockford, IL 61108-2514

Phone 815-399-7777

Mailing address

29 Briar Ln
Rockford, IL 61103-1617

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