| Raymond Zastrow Md Sc | |
|
6735 W Bradley Rd Milwaukee WI 53223 | |
| (414) 354-3300 | |
| (262) 784-5472 |
| Full Name | Raymond Zastrow Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 6735 W Bradley Rd, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Raymond Zastrow (OWNER) |
| Authorized Official Contact | 4143543300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Zastrow Md Sc 11701 N River Ridge Dr Mequon WI 53092-2755 Ph: (414) 354-3300 | Raymond Zastrow Md Sc 6735 W Bradley Rd Milwaukee WI 53223 Ph: (414) 354-3300 |
| NPI Number | 1821033226 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821033226 | NPI | - | NPPES |
| 30776800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28127 (Wisconsin) | Primary |
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