Individual
MARC STUART ZELICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4025 PEPPERWOOD CIR SW, SUITE C, HUNTSVILLE, AL 35801-7437
(256) 882-1908
(256) 882-1907
Mailing address
PO BOX 2705, SUITE C, HUNTSVILLE, AL 35804-2705
(256) 265-5951
(256) 265-5952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32718
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150521
—
AL
Enumeration date
06/06/2008
Last updated
06/30/2016
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