Provider Demographics
NPI:1770816233
Name:ZDENKO KRIZAN MD PLC
Entity Type:Organization
Organization Name:ZDENKO KRIZAN MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZDENKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-660-9287
Mailing Address - Street 1:147 E HAMILTON LN
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:147 E HAMILTON LN
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4018
Practice Address - Country:US
Practice Address - Phone:269-660-9287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty