Healthcare Provider Details

I. General information

NPI: 1598517716
Provider Name (Legal Business Name): MARY ZAHNLE MDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 4TH ST SW STE 305
MASON CITY IA
50401-2856
US

IV. Provider business mailing address

1010 4TH ST SW STE 305
MASON CITY IA
50401-2856
US

V. Phone/Fax

Practice location:
  • Phone: 641-428-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-56357
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: