Individual
DR. MAURIZIO ZEKI ALBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
526 W WISCONSIN AVE, APPLETON, WI 54911-4382
(920) 939-6015
(920) 939-6024
Mailing address
69 E FOX POINT DR, LITTLE CHUTE, WI 54911-4105
(920) 427-8271
(920) 939-6024
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55475-20
WI
207L00000X
Anesthesiology Physician
MD420567
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD420567
PA
208VP0014X
Interventional Pain Medicine Physician
55475-20
WI
208VP0014X
Interventional Pain Medicine Physician
MD420567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079691
MEDICARE ID-TYPE UNSPECIFIED
PA
05
—
1011622200001
—
PA
Enumeration date
06/30/2006
Last updated
11/30/2023
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