Healthcare Provider Details

I. General information

NPI: 1225070774
Provider Name (Legal Business Name): FRANCISCO ZORNOSA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S OAKWOOD RD
OSHKOSH WI
54904-7944
US

IV. Provider business mailing address

500 S OAKWOOD RD
OSHKOSH WI
54904-7944
US

V. Phone/Fax

Practice location:
  • Phone: 920-223-1000
  • Fax:
Mailing address:
  • Phone: 920-223-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42011
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number42011
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number42011
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: