Organization
EVOLUTION EXERCISE & SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ZIEBELL (OWNER)
(262) 896-6967
Entity
Organization
Contact information
Practice address
N22 W27847 EDGEWATER DRIVE, SUITE 103, PEWAUKEE, WI 53072-5402
(262) 264-0080
(262) 264-0081
Mailing address
N22W27847 EDGEWATER DR, SUITE 103, PEWAUKEE, WI 53072-5227
(262) 264-0080
(262) 264-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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