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Individual

ZDENEK A TUSEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(972) 715-3800
(888) 705-9777
Mailing address
359 STETLER AVE, SELINSGROVE, PA 17870-9031
(570) 743-8657

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3694A
WY
208D00000X
General Practice Physician
16941
NE

Other

Enumeration date
10/12/2006
Last updated
02/02/2017
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