NPI 1366974123

Zackery J Tegge, MCMSPAC

Practitioner Physician Assistant Christiansted, VI

Practice location

Address: 4007 Estate Diamond Ruby, Christiansted, VI 00820
Phone: (340) 778-6311
Mailing address: 1035 Kepler Dr, Green Bay, WI 54311-8320

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4320 (WI)

Other Physician Assistant providers in U.S. Virgin Islands →

Registry record

NPI: 1366974123
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2017
Record last updated: 7 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.