Individual
KENNETH E. ZICHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
911 CARTER ST NW, ELKADER, IA 52043-9016
(563) 245-1746
(563) 245-2066
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20215
IA
207Q00000X
Family Medicine Physician
29117
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148262
—
IA
Enumeration date
05/18/2006
Last updated
01/12/2011
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