Zachary D. Furtak LAT

NPI 1245671429 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1245671429
Gender Male
Enumeration Date 07/16/2013
Last Updated 07/16/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1446 1ST AVE
WOODRUFF WI, 54568-9470, US
Phone (715) 358-0610
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5703, US
Phone (715) 387-5511
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 1455
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According to our database, Zachary D. Furtak LAT NPI is 1245671429, taxonomy code is 2255A2300X and license number is 1455, license state is located at Wisconsin. Zachary D. Furtak LAT physically located at 1446 1st Ave, Woodruff WI, 54568-9470. NPI Number Zachary D. Furtak LAT has the Individual type.

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1245671429 NPI number is provided on an as is basis without warranty of any kind. 1245671429 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary D. Furtak LAT are for informational purposes only.