Healthcare Provider Details

I. General information

NPI: 1851362149
Provider Name (Legal Business Name): JOHN F ZUREK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3366 OAKDALE AVE N 150
ROBBINSDALE MN
55422-2948
US

IV. Provider business mailing address

3366 OAKDALE AVE N 150
ROBBINSDALE MN
55422-2948
US

V. Phone/Fax

Practice location:
  • Phone: 763-520-7840
  • Fax: 763-520-1578
Mailing address:
  • Phone: 763-520-7840
  • Fax: 763-520-1578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number18695
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: