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NPI Code Detail

MEDICARE: DR. MARY LEE ZASADIL M.D.

MEDICARE: DR. MARY LEE ZASADIL M.D.
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
1207RI0011XInterventional Cardiology Physician46022WI
2207UN0901XNuclear Cardiology Physician46022WI
3207RC0000XCardiovascular Disease Physician46022WI

General Provider Information

NPI Number : 1881659175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY LEE ZASADIL M.D.
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4602 EASTPARK BLVD
Second Line :
City : MADISON
State : WI
Zip : 53718-2002
Country : US
Telephone Number : 608-263-1530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 07/28/2023

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