Individual
JOHN R. ZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST PROGRAM, 725 AMERICAN AVENUE ROOM 2036, WAUKESHA, WI 53188
(262) 928-1000
(262) 928-6140
Mailing address
N17 W24100 RIVERWOOD DRIVE SUITE 250, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31971
WI
208M00000X
Hospitalist Physician
Primary
31971-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31703600
—
WI
Enumeration date
02/13/2006
Last updated
11/09/2011
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