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Individual

MICHAEL R ZENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2435 FOREST DRIVE, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 12350, WESTMINSTER, CA 92685-2350

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
191
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001919
SC
Enumeration date
09/08/2006
Last updated
05/14/2008
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