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Individual

DR. TIMOTHY J ZIELICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3551 E OVERLAND RD, MERIDIAN, ID 83642-6757
(208) 884-1333
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
O-1548
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841638723
ID
Enumeration date
06/12/2013
Last updated
04/04/2023
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