Individual
OFER M ZIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 942-5600
(262) 948-7388
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 942-5600
(262) 948-7388
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
46211
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558404236
—
WI
Enumeration date
02/14/2007
Last updated
05/07/2018
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