MEDICARE: PAUL MATTHEW ZEROVEC D.P.M.

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
1	213ES0131X	Foot Surgery Podiatrist	802025	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396822730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MATTHEW ZEROVEC D.P.M.

Provider Business Mailing Address
First Line	:	1839A E EUCLID AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2943
Country	:	US
Telephone Number	:	414-489-0872
Fax Number	:	414-271-2396

Provider Business Practice Location Address
First Line	:	1442 N FARWELL AVE STE 605
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2913
Country	:	US
Telephone Number	:	414-271-0670
Fax Number	:	414-271-2396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/13/2008

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