Individual
ZACHARY JON AHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11379080-1205
UT
207Q00000X
Family Medicine Physician
Primary
81565-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2018
Last updated
02/13/2026
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