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NPI Code Detail

MEDICARE: REBECCA ANN ZUEHLKE

MEDICARE:   REBECCA ANN ZUEHLKE
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
11041C0700XClinical Social Worker20628MN

General Provider Information

NPI Number : 1871294264
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN ZUEHLKE
Provider Business Mailing Address
First Line : 15815 FRANKLIN TRL SE STE 301
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-5505
Country : US
Telephone Number : 507-822-2830
Fax Number : 800-587-2859
Provider Business Practice Location Address
First Line : 15815 FRANKLIN TRL SE STE 301
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-5505
Country : US
Telephone Number : 507-822-2830
Fax Number : 800-587-2859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2023
Last Update Date : 02/12/2026

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