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Individual

DR. ANTOINETTE MARIE ZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2405 NORTHWESTERN AVE, SUITE #115, RACINE, WI 53404-2503
(262) 637-9438
(262) 637-8947
Mailing address
2405 NORTHWESTERN AVE, SUITE #115, RACINE, WI 53404-2503
(262) 637-9438
(262) 637-8947

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24289
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30799800
WI
Enumeration date
01/31/2007
Last updated
07/09/2007
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