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Individual
AMBER KELSIE ZDANOVEC
Active
Individual
AMBER KELSIE ZDANOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64533
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
64533
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013334473
—
WI
Enumeration date
03/24/2014
Last updated
06/05/2023
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