Healthcare Provider Details

I. General information

NPI: 1962802439
Provider Name (Legal Business Name): CHERYL ZABROWSKI FLOGEL O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 10/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 DELAWARE ST SE
MINNEAPOLIS MN
55455-0356
US

IV. Provider business mailing address

516 DELAWARE ST SE
MINNEAPOLIS MN
55455-0356
US

V. Phone/Fax

Practice location:
  • Phone: 612-625-4400
  • Fax:
Mailing address:
  • Phone: 612-625-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number3431
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: