Doctor Name: | AARON ZONDLO |
NPI Number: | 1023416559 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 161835-30 |
Business Practice Address: | 425 Pine Ridge Blvd Ste 211 Wausau, WI - 544014123 |
Business Phone Number: | 7158455505 |
Business Fax Number: | 7158482884 |
Mailing Address: | 425 Pine Ridge Blvd Ste 211, WAUSAU |
State: | WI |
Postal Code: | 544014123 |
Phone Number: | 7158455505 |
Fax Number: | 7158482884 |
NPI Enumeration Date: | 12/16/2014 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 161835-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |