Marc W Zylstra is a Health Service in Wauwatosa, Wisconsin. Marc W Zylstra practices all healthcare services and medical treatments related to Health Service. The NPI Number for Marc W Zylstra is 1295847002. The last update date is 2007-07-09.
Marc W Zylstra's current location address is 2525 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144768183 and fax number 4144768465. The mailing address for Marc W Zylstra is 2525 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc W Zylstra |
|---|---|
| Address | 2525 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4144768183 |
| Fax Number | 4144768465 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1295847002 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2525 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532261403 |
| Phone Number | 4144768183 |
| Fax Number | 4144768465 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 43715 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21280000 | WI | -- | |
| 39640900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marc W Zylstra by the Centers for Medicare & Medicaid Services?
The Marc W Zylstra has been assigned the NPI (National Provider Identifier) 1295847002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Marc W Zylstra's physical address?
The Marc W Zylstra is physically located at 2525 N Mayfair Rd, in the city of Wauwatosa, WI, with the postal code 532261403.
What is Marc W Zylstra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marc W Zylstra is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295847002 to Marc W Zylstra?
The Centers for Medicare & Medicaid Services originally issued the 1295847002 to Marc W Zylstra on 2006-08-31.
As of what date were the details related to Marc W Zylstra most recently updated or revised?
The information pertaining to Marc W Zylstra, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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