Individual
THOMAS ZOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
(920) 738-6400
Mailing address
PO BOX 8029, APPLETON, WI 54912-8029
(920) 996-3225
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30597100
—
WI
Enumeration date
07/20/2006
Last updated
08/03/2009
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