Organization
RAYMOND ZASTROW MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ZASTROW MD (OWNER)
(414) 354-3300
Entity
Organization
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223
(414) 354-3300
(262) 784-5472
Mailing address
11701 N RIVER RIDGE DR, MEQUON, WI 53092-2755
(414) 354-3300
(262) 784-5472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28127
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30776800
—
WI
Enumeration date
06/19/2006
Last updated
07/31/2018
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