Individual
DR. TIMOTHY JOSEPH ZELKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9916 75TH ST, SUITE 200, KENOSHA, WI 53142-7583
(262) 697-7750
Mailing address
423 S FANCHER RD, RACINE, WI 53406-3013
(262) 909-9246
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24876-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30022900
—
WI
Enumeration date
04/03/2007
Last updated
07/09/2007
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