Individual
DR. ZACHARY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098
(920) 245-5741
Mailing address
1260 N PROSPECT AVE APT 707, MILWAUKEE, WI 53202-3097
(815) 297-6384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066444
IL
207R00000X
Internal Medicine Physician
Primary
69363-20
WI
Other
Enumeration date
04/02/2015
Last updated
07/25/2018
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