Individual
BRAD ZILLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W8446 STATE ROAD 67, SHARON, WI 53585-9790
(262) 745-9532
Mailing address
W8446 STATE ROAD 67, SHARON, WI 53585-9790
(262) 745-9532
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319377
WI
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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