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1427491968
SAMUEL JACOB ZIDOVETZKI
MADISON, WI
NPI
1427491968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A155123)
Enumeration Date
2013-04-15
Last Update Date
2018-07-26
Business Address
SAMUEL JACOB ZIDOVETZKI MD
600 HIGHLAND AVE H4/831
MADISON, WI 53792
Phone number: 608-890-8682
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Mailing Address
SAMUEL JACOB ZIDOVETZKI MD
600 HIGHLAND AVE H4/831
MADISON, WI 53792-0001
Phone number: 608-890-8682
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