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NPI Code Detail

MEDICARE: CHRISTOPHER MICHAEL ZIEBELL PA

MEDICARE:   CHRISTOPHER MICHAEL ZIEBELL  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10991MN

General Provider Information

NPI Number : 1366739807
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MICHAEL ZIEBELL PA
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1750 ROBERT ST S
Second Line :
City : WEST SAINT PAUL
State : MN
Zip : 55118-3919
Country : US
Telephone Number : 651-455-6671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 04/20/2020

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Directions to “ CHRISTOPHER MICHAEL ZIEBELL PA” Practice Location

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