Organization
WOMENS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ZELKO D.O. (PRESIDENT)
(262) 697-7750
Entity
Organization
Contact information
Practice address
9916 75TH ST, SUITE 200, KENOSHA, WI 53142-7583
(262) 697-7750
(262) 697-7759
Mailing address
9916 75TH ST, SUITE 200, KENOSHA, WI 53142-7583
(262) 697-7750
(262) 697-7759
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24876-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30022900
—
WI
Enumeration date
01/28/2008
Last updated
01/28/2008
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