Phillip Zalog, PA

NPI #1548255508 in Menomonee Falls, Wisconsin

Provider Information

NPI Number: 1548255508
Entity Type: Individual
Name: Phillip Zalog, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: W190N5053 SUNSET VIEW DR
City: Menomonee Falls
State: Wisconsin
ZIP Code: 53051-6436
Phone: (262) 783-6265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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