Michelle Zikusoka MD

NPI 1003953290 - Internal Medicine - 207RC0000X

NPI Details
NPI 1003953290
Gender Female
Enumeration Date 01/30/2007
Last Updated 03/28/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
5601 LOCH RAVEN BOULEVARD
RMB SUITE 206
BALTIMORE MD, 21239, US
Phone (443) 444-5613
Fax
Business Location
5601 LOCH RAVEN BLVD
RMB SUITE 206
BALTIMORE MD, 21239-2945, US
Phone (443) 444-5613
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Maryland
License Number D0069504
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According to our database, Dr. Michelle Zikusoka MD NPI is 1003953290, taxonomy code is 207RC0000X and license number is D0069504, license state is located at Maryland. Michelle Zikusoka MD physically located at 5601 Loch Raven Boulevard, Baltimore MD, 21239. NPI Number Michelle Zikusoka MD has the Individual type.

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1003953290 NPI number is provided on an as is basis without warranty of any kind. 1003953290 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Zikusoka MD are for informational purposes only.