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Organization

DR. MICHAEL S. ZALESKI

Active
Other names
Total Foot Care Clinic, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SEAN ZALESKI DPM (OWNER/AUTHORIZED AGENT)
(601) 268-0400
Entity
Organization

Contact information

Practice address
34 FRANKLIN RD, HATTIESBURG, MS 39402-1318
(601) 268-0400
(601) 264-3150
Mailing address
PO BOX 16235, HATTIESBURG, MS 39404-6235
(601) 268-0400
(601) 264-3150

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80131
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08574705
MS MEDICAID DME
MS
05
09015719
MS
01
480031794
RAILROAD MEDICARE
MS
Enumeration date
09/27/2006
Last updated
01/24/2017
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