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Individual

GRETCHEN MARY ZIRBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005-4974
(262) 754-4488
(262) 754-4940
Mailing address
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005-4974
(262) 754-4488
(262) 754-4940

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32404020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32010100
WI
01
P00423622
RAILROAD MEDICARE
WI
Enumeration date
09/07/2005
Last updated
04/20/2008
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