Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 162620 | AK |
Y | 207RP1001X | Pulmonary Disease | 162620 | AK |
NPI | 1063822831 |
---|---|
Provider Name | David K Zielke |
First Address | Lebanon, NH 03756-1000 |
Second Address | Anchorage, AK 99508-5926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2014 |
Last Update Date | 29/07/2020 |