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Individual
MARK KENNETH ZELLER
Active
Individual
MARK KENNETH ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00588
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209189
NORTH CAROLINA MEDICAL BOARD RESIDENCY TRAINING LICENSE FILE ID NUMBER
NC
Enumeration date
03/23/2015
Last updated
06/15/2018
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