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Individual

MR. PETER JOHN ZELLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-A

Contact information

Practice address
1336 E WISCONSIN AVE, APPLETON, WI 54911-3969
(920) 733-7525
(920) 730-9403
Mailing address
1336 E WISCONSIN AVE, APPLETON, WI 54911-3969
(920) 733-7525
(920) 730-9403

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
359-156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
359-156
WI AUDIOLOGY LICENSE
WI
05
41140700
WI
Enumeration date
02/21/2007
Last updated
07/08/2007
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