Individual
ZACHARY ARTHUR MIKSANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7257
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036141510
IL
Other
Enumeration date
06/17/2014
Last updated
08/16/2023
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