Individual
DR. FRED E ZIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6333 UNIVERSITY AVE, SUITE 110, MIDDLETON, WI 53562-3415
(608) 238-6244
Mailing address
6333 UNIVERSITY AVE, SUITE 110, MIDDLETON, WI 53562-3415
(608) 238-6244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3582
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33490900
—
WI
Enumeration date
04/10/2007
Last updated
07/09/2007
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