Healthcare Provider Details

I. General information

NPI: 1548614985
Provider Name (Legal Business Name): ZACHARY MORRISON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8915 W CONNELL AVE
MILWAUKEE WI
53226-3067
US

IV. Provider business mailing address

PO BOX 26509
MILWAUKEE WI
53226-0509
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-6557
  • Fax:
Mailing address:
  • Phone: 414-266-6557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number69729-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: