Individual
DR. LISA W ZETLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 N 12TH ST, DOWNTOWN HEALTH CENTER, MILWAUKEE, WI 53233-1308
(414) 277-8900
(414) 277-8982
Mailing address
1020 N 12TH ST, DOWNTOWN HEALTH CENTER, MILWAUKEE, WI 53233-1308
(414) 277-8900
(414) 277-8982
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33598
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000197P
HUMANA
—
05
—
1225080724
—
WI
Enumeration date
05/16/2006
Last updated
02/25/2013
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