Individual
DR. JOHN CHARLES ZELDENRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241
(920) 793-7300
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392200
—
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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