Healthcare Provider Details

I. General information

NPI: 1801863279
Provider Name (Legal Business Name): WILLIAM EARL ZOESCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAMEDDAC WUERZBURG ATTN: CREDENTIALS UNIT 26610
APO AE
09244
DE

IV. Provider business mailing address

MARKSCHEIDERSTRASSE 7
AMBERG BAVARIA
92224
DE

V. Phone/Fax

Practice location:
  • Phone: 011499318043616
  • Fax: 011499318043241
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH7855
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: