Individual
CHARLES MICHAEL ZILLWEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
8241 W DREYFUS DR, PEORIA, AZ 85381-4956
(623) 256-5880
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001116
AZ
Other
Enumeration date
05/11/2021
Last updated
07/05/2024
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