| NPI | 1851698674 |
|---|---|
| Professional Name | ZACK ANDREW WULBECKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3497) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003686) |
| 363AM0700X Physician Assistant, Medical (Licence: NE 1580) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2020-08-31 |