# JEREMY THOMAS ZACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457155855
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 35222 | MN | — |
| 2086S0129X | Vascular Surgery Physician | 83079 | MN | Yes |

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 07/28/2026