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General NPI Number Information
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NPI Number | 1770816233
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Entity Type | Organization
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Legal Business Name | ZDENKO KRIZAN MD PLC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 147 E HAMILTON LN
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4018
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Country | US
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Telephone | 269-660-9287
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Fax |
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Provider Business Mailing Address
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Address Line | 147 E HAMILTON LN
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZDENKO KRIZAN
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Credential | MD
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Telephone | 269-660-9287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301049172
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License Number State | MI
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