Individual
BREANNA ZAJICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2160
Mailing address
903 20TH ST, MOSINEE, WI 54455-1282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4900-23
WI
Other
Enumeration date
05/14/2019
Last updated
10/07/2019
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