Provider Demographics
NPI:1386964088
Name:ZORNS, KATARZYNA A (MD)
Entity type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:A
Last Name:ZORNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATARZYNA
Other - Middle Name:ANNA
Other - Last Name:PRZEPOLSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4328 OLD GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53403-9489
Mailing Address - Country:US
Mailing Address - Phone:262-687-7606
Mailing Address - Fax:262-687-7615
Practice Address - Street 1:4328 OLD GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53403-9489
Practice Address - Country:US
Practice Address - Phone:262-687-7606
Practice Address - Fax:262-687-7615
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61154207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty