Individual
THOMAS H ZUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
41948
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32632300
—
WI
Enumeration date
11/14/2005
Last updated
03/07/2024
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