Individual
ZACHARY D. FURTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1446 1ST AVE, WOODRUFF, WI 54568-9470
(715) 358-0610
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1455
WI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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