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NPI Code Detail

MEDICARE: MR. MICHAEL A ZUTTER JR.

MEDICARE: MR. MICHAEL A ZUTTER JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12424-40WI
2183500000XPharmacist115906MN

General Provider Information

NPI Number : 1225319262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL A ZUTTER JR.
Provider Business Mailing Address
First Line : 275 DAVISON DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2034
Country : US
Telephone Number : 608-837-8566
Fax Number : 608-825-8259
Provider Business Practice Location Address
First Line : 275 DAVISON DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2034
Country : US
Telephone Number : 608-837-8566
Fax Number : 608-825-8259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 09/05/2011

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Directions to “ MR. MICHAEL A ZUTTER JR. ” Practice Location

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