PHILLIP ZALOG

MENOMONEE FALLS, WI
NPI1548255508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  815-023)
Enumeration Date2005-09-15
Last Update Date2007-07-08
Business Address
-- PHILLIP ZALOG PA
W190N5053 SUNSET VIEW DR
MENOMONEE FALLS, WI 53051-6436
Phone number: 262-783-6265
Mailing Address
-- PHILLIP ZALOG PA
W190N5053 SUNSET VIEW DR
MENOMONEE FALLS, WI 53051-6436
Phone number: 262-783-6265