Doctor Name: | SLOBODAN ZEC |
NPI Number: | 1124043385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 46552-020 |
Business Practice Address: | 707 University Ave Beaver Dam, WI - 53916 |
Business Phone Number: | 9208877181 |
Business Fax Number: | |
Mailing Address: | 1424 Hiawatha Dr, BEAVER DAM |
State: | WI |
Postal Code: | 539161042 |
Phone Number: | 9208853382 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 46552-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |