Individual
MIKKO B ZUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 PINE RIDGE BLVD, WAUSAU, WI 54401-4123
(715) 845-5505
Mailing address
156169 RESTLAWN RD, WAUSAU, WI 54403-5544
(715) 551-5159
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52406
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-579-848-3
ECFMG
—
Enumeration date
06/21/2006
Last updated
03/07/2023
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