KELLY A ZALOG

BROOKFIELD, WI
NPI1952381790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  715-023)
Enumeration Date2006-01-18
Last Update Date2007-07-08
Business Address
-- KELLY A ZALOG P.A.
19035 W CAPITOL DR SUITE 101
BROOKFIELD, WI 53045-2706
Phone number: 262-754-1421
Mailing Address
-- KELLY A ZALOG P.A.
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100
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