Individual
DR. MICHAEL JOHN ZIGICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2107 CONCORDIA WAY, TWIN FALLS, ID 83301-4362
(208) 734-0831
(208) 734-0831
Mailing address
2107 CONCORDIA WAY, TWIN FALLS, ID 83301-4362
(208) 734-0831
(208) 734-0831
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036111238
IL
207L00000X
Anesthesiology Physician
Primary
M-5427
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001617300
—
ID
Enumeration date
12/15/2006
Last updated
01/07/2022
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