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Individual

THOMAS R ZENTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD SC

Contact information

Practice address
520 N 28TH AVENUE, SUITE 200, WAUSAU, WI 54401
(715) 848-1346
(715) 845-1244
Mailing address
520 N 28TH AVENUE, SUITE 200, WAUSAU, WI 54401
(715) 848-1346
(715) 848-0640

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
554057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39008500
WI
Enumeration date
07/07/2006
Last updated
07/08/2007
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