Individual
DR. BRENT E ZASTROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1445 MERRILL AVE, WAUSAU, WI 54401-2646
(715) 675-2321
(715) 675-6530
Mailing address
1445 MERRILL AVE, WAUSAU, WI 54401-2646
(715) 675-2321
(715) 675-6530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1033-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1209098
—
IA
Enumeration date
01/11/2006
Last updated
05/02/2014
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