MICHAEL BLAINE ZELISKO

FORT WORTH, TX
NPI1447572318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: TX  N2895)
Enumeration Date2010-02-19
Last Update Date2024-12-17
Business Address
MICHAEL BLAINE ZELISKO MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
Mailing Address
MICHAEL BLAINE ZELISKO MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483