Individual
DR. JEFFREY L ZANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
(715) 524-9893
Mailing address
152 WOODLAWN DR, SHAWANO, WI 54166-2200
(715) 526-3314
(715) 524-9893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2262015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33386000
—
WI
Enumeration date
11/22/2005
Last updated
07/08/2007
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