Individual
ZACHARY CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 LORILLARD CT # E303, MADISON, WI 53703-3897
(608) 807-4937
Mailing address
702 LORILLARD CT # E303, MADISON, WI 53703-3897
(608) 807-4937
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
99999999999999999
IN
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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