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NPI Code Detail

MEDICARE: CAROL ZIELIKE

MEDICARE: CAROL ZIELIKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2532SD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080169997OTHERSDRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10008008OTHERSDBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851347561
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ZIELIKE
Provider Business Mailing Address
First Line : PO BOX 6020
Second Line :
City : RAPID CITY
State : SD
Zip : 57709-6020
Country : US
Telephone Number : 605-342-3280
Fax Number : 605-721-8438
Provider Business Practice Location Address
First Line : 717 SAINT FRANCIS ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-4677
Country : US
Telephone Number : 605-342-2880
Fax Number : 605-388-4621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 10/01/2013

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Directions to “ CAROL ZIELIKE ” Practice Location

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