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Individual

IVAN ZADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5185
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
41779
WI
2080P0205X
Pediatric Endocrinology Physician
Primary
41779
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32612200
WI
Enumeration date
09/25/2006
Last updated
09/30/2010
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