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Individual
MISTY MICHELLE ZELK
Active
Individual
MISTY MICHELLE ZELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C54385
CA
207R00000X
Internal Medicine Physician
E-1505
AR
208000000X
Pediatrics Physician
C54385
CA
208000000X
Pediatrics Physician
E-1505
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140545001
—
AR
Enumeration date
07/18/2005
Last updated
03/28/2013
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