Individual
JOSEPH EDWARD ZILISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5150 N PORT WASHINGTON RD STE 251, GLENDALE, WI 53217-5477
(414) 332-0606
(414) 967-3604
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101269431
VA
207W00000X
Ophthalmology Physician
Primary
75083
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144683517
—
WI
Enumeration date
04/01/2016
Last updated
06/08/2021
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