Provider Demographics
NPI:1609851120
Name:ZIEROLD, DUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:
Last Name:ZIEROLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:ROOM 4206
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-8164
Mailing Address - Fax:916-734-7821
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:ROOM 4206
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-8164
Practice Address - Fax:916-734-7821
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA85833208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery