Individual
THOMAS MICHAEL ZENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 4TH ST, KEWAUNEE, WI 54216-1785
(920) 388-4640
Mailing address
575 4TH ST, KEWAUNEE, WI 54216-1785
(920) 388-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24068
LICENSE
WI
Enumeration date
12/09/2005
Last updated
02/27/2014
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