Phillip Zalog in Menomonee Falls - Physician Assistant

Phillip Zalog - NPI 1548255508

Phillip Zalog is a Physician Assistant in Menomonee Falls, Wisconsin. Phillip Zalog practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phillip Zalog is 1548255508. The last update date is 2007-07-08.

Phillip Zalog's current location address is W190n5053 Sunset View Dr, Menomonee Falls, Wisconsin. You can contact this provider via phone number 2627836265. The mailing address for Phillip Zalog is W190n5053 Sunset View Dr, Menomonee Falls, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Zalog
Address W190n5053 Sunset View Dr, Menomonee Falls, Wisconsin
Phone Number 2627836265
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1548255508
Provider Enumeration Date 2005-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address W190n5053 Sunset View Dr
City Menomonee Falls
State Wisconsin (WI)
Post Code 530516436
Phone Number 2627836265
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 815-023
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42960800 WI --

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FAQs about Phillip Zalog

Could you share the physical location details of Phillip Zalog?

The Phillip Zalog is situated at W190N5053 Sunset View Dr, in the city of Menomonee Falls, state of WI, with the zip code 530516436.

Could you please share the complete physical address where Phillip Zalog is geographically located?

The Phillip Zalog is physically situated at the following location: W190N5053 Sunset View Dr, Menomonee Falls, WI, 530516436.

When did Phillip Zalog receive its 1548255508 assignment?

The Phillip Zalog was assigned its 1548255508 on 2005-09-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Phillip Zalog last refreshed?

The information related to the Phillip Zalog, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

When was the information regarding Phillip Zalog, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Phillip Zalog, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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