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NPI Code Detail

MEDICARE: DR. RYAN MICHAEL ZALESKI D.O.

MEDICARE:  DR. RYAN MICHAEL ZALESKI  D.O.
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 PhysicianOS16842FL
2390200000XStudent in an Organized Health Care Education/Training Program0102203202VA
3208D00000XGeneral Practice Physician0102203202VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902193782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN MICHAEL ZALESKI D.O.
Provider Business Mailing Address
First Line : PO BOX 3046
Second Line :
City : MALVERN
State : PA
Zip : 19355-0746
Country : US
Telephone Number : 941-722-7785
Fax Number :
Provider Business Practice Location Address
First Line : 606 4TH AVE W
Second Line :
City : PALMETTO
State : FL
Zip : 34221-5226
Country : US
Telephone Number : 941-722-7785
Fax Number : 941-729-5267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 09/02/2020

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Directions to “ DR. RYAN MICHAEL ZALESKI D.O.” Practice Location

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