Individual
DR. MATT ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-113009
IL
2084P0800X
Psychiatry Physician
Primary
46164-020
WI
2084P0800X
Psychiatry Physician
50191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275621807
—
MN
05
—
1575621807
—
WI
Enumeration date
10/10/2006
Last updated
11/01/2019
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