Individual
IGOR O ZHUKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6133 JEFFERS DR, MADISON, WI 53719-4829
(404) 268-1404
Mailing address
6133 JEFFERS DR, MADISON, WI 53719-4829
(404) 268-1404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
53606
WI
207L00000X
Anesthesiology Physician
69467
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2008
Last updated
07/09/2021
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