Individual
MAKENZIE ZIDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
193 MAIN ST, NORWAY, ME 04268-5645
(743) 876-6207
Mailing address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-8766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO3824
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/30/2024
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