Individual
BRYCE ZDANOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 PARK RIDGE LN, NORTH FOND DU LAC, WI 54937-1385
(920) 926-7800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 926-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16037
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221496
—
WI
Enumeration date
06/13/2022
Last updated
01/29/2024
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