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Individual

ZACHARY P MACINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-4452
(785) 350-4304
Mailing address
2129 SW MILLERS GLEN DR, TOPEKA, KS 66614-5017
(860) 830-4110

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021576
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001215763
CT
Enumeration date
08/23/2006
Last updated
05/21/2015
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