Individual
MR. MIKE ZUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 N BAYSHORE DR STE A250, GLENDALE, WI 53217-4543
(414) 962-6764
(414) 962-6765
Mailing address
5800 N BAYSHORE DR STE A250, GLENDALE, WI 53217-4543
(414) 962-6764
(414) 962-6765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
836-226
WI
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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