Provider Demographics
NPI:1952486664
Name:ZIELINSKI, DOROTHY A (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:A
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 NE CAMANO DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8732
Mailing Address - Country:US
Mailing Address - Phone:360-387-5939
Mailing Address - Fax:
Practice Address - Street 1:127 NE CAMANO DR
Practice Address - Street 2:SUITE A
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-8732
Practice Address - Country:US
Practice Address - Phone:360-387-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041179174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1147700Medicaid