Zelickson, Brian David

Zelickson, Brian David is an individual health care provider with primary practice located at 825 Nicollet Mall Suite 1002, Minneapolis MN 55402-2606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Zelickson, Brian David can be contacted via phone (612) 338-0711.

Contact Information

Primary practice address
825 Nicollet Mall Suite 1002 Minneapolis MN 55402-2606
Phone: (612) 338-0711
Fax: (612) 332-3663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 31389 Minnesota

Profile Details

NPI number 1336195148
LBN Legal business name Zelickson, Brian David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 1st, 2010 - about 14 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 1336195148 NPPES
Minnesota MEDICAID 3683231-00

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