Individual
DR. TIMOTHY IVAN ZUCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Mailing address
5395 MICHAELS DR, APPLETON, WI 54913-8447
(920) 739-1214
(920) 739-5855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5216015
WI
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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