Provider Demographics
NPI:1285607002
Name:ZILLWEGER, WILLIAM S (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:ZILLWEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:SUITE 3111
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-366-2950
Mailing Address - Fax:412-366-2775
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:SUITE 3111
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-366-2950
Practice Address - Fax:412-366-2775
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2011-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA054995L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG00944Medicare UPIN