Individual
MADELYN RAE ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6070 N PORT WASHINGTON RD, GLENDALE, WI 53217-4524
(414) 928-7076
Mailing address
6185 OVERLOOK CT, GREENDALE, WI 53129-2135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7865
NE
1223G0001X
General Practice Dentistry
Primary
6001064-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
02/17/2026
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