# DR. DAVID ROBERT ZETTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548708829
- **Gender:** Man
- **Credential:** DO, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 82004-21 | WI | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 82004-21 | WI | — |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 10/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100368475 | — | WI |
