Individual
BRIAN M ZAMZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7680
Mailing address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041622
—
WI
Enumeration date
12/01/2014
Last updated
12/18/2019
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