Individual
SAMUEL JACOB ZIDOVETZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792
(608) 890-8682
Mailing address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792-0001
(608) 890-8682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A155123
CA
Other
Enumeration date
04/15/2013
Last updated
07/26/2018
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