Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2021-02085 | NC |
N | 207VX0000X | Obstetrician | 34.014629 | OH |
NPI | 1104271691 |
---|---|
Provider Name | Anna Victoria Zdroik |
First Address | Cincinnati, OH 45220-2475 |
Second Address | Winston Salem, NC 27157-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2016 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2565399 | (05) | OH |