Zieske, Larry A.

Zieske, Larry A. is an individual health care provider with primary practice located at 2211 Park Ave , Minneapolis MN 55404-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Zieske, Larry A. can be contacted via phone (612) 871-1144.

Contact Information

Primary practice address
2211 Park Ave Minneapolis MN 55404-3711
Phone: (612) 871-1144
Fax: (612) 871-2012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 37062 Minnesota

Profile Details

NPI number 1841292646
LBN Legal business name Zieske, Larry A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 29th, 2013 - about 11 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 1841292646 NPPES
Minnesota Other 76D32ZI BLUE SHIELD
Minnesota Other 1000010 BLUE SHIELD
Minnesota Other 1000133 BLUE SHIELD
Minnesota Other 32466700 BLUE SHIELD
Minnesota MEDICAID 639817100 BLUE SHIELD
Minnesota Other 1016754 BLUE SHIELD
Minnesota Other 768882 BLUE SHIELD

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