Individual
ZACKERY O WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 N 50TH ST, MILWAUKEE, WI 53208-2208
(407) 451-7201
Mailing address
1435 N 50TH ST, MILWAUKEE, WI 53208-2208
(407) 451-7201
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
W4529948300307
WI
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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