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Individual

ZACHARY A LINROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2000
(414) 858-2230
Mailing address
2968 S MABBETT AVE, MILWAUKEE, WI 53207-2525
(608) 658-8276

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005161
IL
363A00000X
Physician Assistant
1117940
IA
363A00000X
Physician Assistant
Primary
4350
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085005161
ILLINOIS STATE LICENSE
IL
01
1117940
NCCPA CERTIFICATION NUMBER
IA
Enumeration date
08/22/2014
Last updated
06/27/2025
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