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Martin W Zietlow

Physical Therapist, Orthopedic in Madison, WI. Individual provider (NPI-1).

NPI number1235151069
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1235151069
Entity type
Individual (NPI-1)
Name
Martin W Zietlow
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 24, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic4718-24WIYes

Practice location

600 Highland Ave
Compliance Mail Code-2433
Madison, WI 53792-0001

Phone 608-662-0817

Mailing address

600 Highland Ave
Compliance Mail Code-2433
Madison, WI 53792-0001

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