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Individual

MARY E ZELENAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
(419) 226-9826
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35079636Z
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000317867
BCBS
OH
05
2282499
OH
01
P00089673
MEDICARE RR
OH
Enumeration date
05/25/2006
Last updated
05/22/2008
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