Mariano, M. Jerry Zapanta

Mariano, M. Jerry Zapanta is an individual health care provider with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744-9603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mariano, M. Jerry Zapanta can be contacted via phone (218) 326-3433.

Contact Information

Primary practice address
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744-9603
Fax: (218) 326-3435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 43720 Minnesota
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 43720 Minnesota

Profile Details

NPI number 1376582908
LBN Legal business name Mariano, M. Jerry Zapanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376582908 NPPES
Minnesota MEDICAID 184514400
Minnesota Other 43720

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