Individual
STACY LYNN ZISKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3801 MARKET ST, MEDICAL ARTS BUILDING, SUITE 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-4606
Mailing address
3801 MARKET ST, MEDICAL ARTS BUILDING, SUITE 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-4606
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006092
PA
Other
Enumeration date
01/15/2009
Last updated
10/16/2012
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