MEDICARE: MARK H. ZIELINSKI, MD, LLC

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
1	101YM0800X	Mental Health Counselor	09052R	LA

General Provider Information

NPI Number	:	1710113212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK H. ZIELINSKI, MD, LLC

Provider Business Mailing Address
First Line	:	9456 JEFFERSON HWY
Second Line	:	SUITE B
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2883
Country	:	US
Telephone Number	:	225-292-1800
Fax Number	:	225-292-1900

Provider Business Practice Location Address
First Line	:	9456 JEFFERSON HWY
Second Line	:	SUITE B
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2883
Country	:	US
Telephone Number	:	225-292-1800
Fax Number	:	225-292-1900

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	DR. MARK HENRY ZIELINSKI
Credential	:	MD
Telephone Number	:	225-292-1800

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	06/10/2009

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