Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301505315 | MI |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 125.075592 | IL |
NPI | 1457745416 |
---|---|
Provider Name | Mark Zekaj |
First Address | Toledo, OH 43604-1531 |
Second Address | Monroe, MI 48162-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 01/09/2021 |