Individual
DR. KATHRYN A ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241
(920) 793-6500
Mailing address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-6500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
69382
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078508
—
WI
01
—
125065729
PHYSICIAN'S LICENSE, TEMPORARY
IL
Enumeration date
06/26/2014
Last updated
03/07/2023
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