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1447572318
MICHAEL BLAINE ZELISKO
FORT WORTH, TX
NPI
1447572318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: TX N2895)
Enumeration Date
2010-02-19
Last Update Date
2024-12-17
Business Address
MICHAEL BLAINE ZELISKO MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
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Mailing Address
MICHAEL BLAINE ZELISKO MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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