Provider Demographics
NPI:1699733691
Name:ZUKOWSKA, DANUTA M (MD)
Entity type:Individual
Prefix:DR
First Name:DANUTA
Middle Name:M
Last Name:ZUKOWSKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 952037
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-2037
Mailing Address - Country:US
Mailing Address - Phone:636-566-8155
Mailing Address - Fax:636-566-8732
Practice Address - Street 1:13610 BARRETT OFFICE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-7816
Practice Address - Country:US
Practice Address - Phone:314-909-4700
Practice Address - Fax:314-909-4712
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO36999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE91086Medicare UPIN