Provider Demographics
NPI:1407852502
Name:ZUROWSKI, SUSAN MARIE (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:ZUROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1000 W NIFONG BLVD STE 150
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5615
Practice Address - Country:US
Practice Address - Phone:573-882-9909
Practice Address - Fax:573-882-5434
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7E73207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0304005OtherUNITED HEALTHCARE
MO070006913OtherRAILROAD MEDICARE
MO102673OtherHEALTHLINK
MS25085OtherGROUP HEALTH PLANS
MOA13630OtherMERCY
MO202222030OtherMISSOURI CARE
MO202222055Medicaid
MO9882OtherHEALTHCARE USA
MO7388OtherBLUE CROSS BLUE SHIELD
MO202222030Medicaid
MOA13630OtherMERCY
MO000001652Medicare ID - Type UnspecifiedMEDICARE PROV ID NUMBER
MO000001851Medicare ID - Type UnspecifiedMEDICARE PROV ID NUMBER
MO202222030Medicaid
MO152360063Medicare PIN