Individual
ZACHARY BETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226
(414) 771-8228
Mailing address
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226-4216
(414) 771-8228
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1133
WI
Other
Enumeration date
04/15/2015
Last updated
06/06/2018
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