Individual
DR. MARIJA ZAKARIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805
(608) 375-4112
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24441
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036055303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360553032
—
IL
05
—
0360553034
—
IL
01
—
05721369
BC/BS
IL
05
—
30398100
—
WI
Enumeration date
06/26/2006
Last updated
12/07/2020
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