Individual
JOCKO R ZIFFERBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2000
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41087-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114160684
—
MI
05
—
30093400
—
WI
01
—
930077089
MEDICARE RAILROAD
WI
01
—
930077090
MEDICARE RAILROAD
WI
01
—
930079991
MEDICARE RAILROAD
WI
Enumeration date
07/04/2006
Last updated
03/16/2024
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