Healthcare Provider Details

I. General information

NPI: 1467588624
Provider Name (Legal Business Name): DANIEL AARON ZANDER MS-CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10916 GREENBRIER RD
MINNETONKA MN
55305-3474
US

IV. Provider business mailing address

10916 GREENBRIER RD
MINNETONKA MN
55305-3474
US

V. Phone/Fax

Practice location:
  • Phone: 952-541-1799
  • Fax: 952-541-5451
Mailing address:
  • Phone: 952-541-1799
  • Fax: 952-541-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7314
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number430156
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number7314
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number7314
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: